Healthcare Provider Details

I. General information

NPI: 1083834345
Provider Name (Legal Business Name): NATIONAL INSTITUTE FOR THE PSYCHOTHERAPIES TRAINING INSTITUTE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/27/2007
Last Update Date: 08/14/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

250 W 57TH ST SUITE 501
NEW YORK NY
10107-0001
US

IV. Provider business mailing address

250 W 57TH ST SUITE 501
NEW YORK NY
10107-0001
US

V. Phone/Fax

Practice location:
  • Phone: 212-582-1566
  • Fax: 212-586-1272
Mailing address:
  • Phone: 212-582-1566
  • Fax: 212-586-1272

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number
License Number State

VIII. Authorized Official

Name: ELLEN FRIES
Title or Position: PRESIDENT, BOARD OF DIRECTORS
Credential: LCSW
Phone: 212-582-1566