Healthcare Provider Details

I. General information

NPI: 1821200213
Provider Name (Legal Business Name): CUSTOMER MARKETING GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/05/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

165 E 89TH ST
NEW YORK NY
10128-2315
US

IV. Provider business mailing address

7 HILL FARM RD
WESTON CT
06883-2006
US

V. Phone/Fax

Practice location:
  • Phone: 212-860-0296
  • Fax: 203-226-9837
Mailing address:
  • Phone: 203-226-8993
  • Fax: 203-226-9837

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number007625-1
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code103TF0000X
TaxonomyFamily Psychologist
License Number007625-1
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code103TF0000X
TaxonomyFamily Psychologist
License Number001997
License Number StateCT
# 4
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number001997
License Number StateCT

VIII. Authorized Official

Name: CYNTHIA MAYER
Title or Position: PSYCHOLOGIST
Credential: PH.D.
Phone: 203-247-4669