Healthcare Provider Details

I. General information

NPI: 1053523373
Provider Name (Legal Business Name): CAROLINE SEAY CLAUSS-EHLERS PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/07/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

515 MANHATTAN AVE
NEW YORK NY
10027-5236
US

IV. Provider business mailing address

515 MANHATTAN AVE
NEW YORK NY
10027-5236
US

V. Phone/Fax

Practice location:
  • Phone: 646-244-2100
  • Fax:
Mailing address:
  • Phone: 646-244-2100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number014232
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number014232
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code103TF0000X
TaxonomyFamily Psychologist
License Number014232
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: