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General NPI Number Information
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NPI Number | 1891607941
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Entity Type | Organization
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Legal Business Name | CANVAS PSYCHOLOGICAL P.C.
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Dates
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Enumeration Date | 09/22/2026
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Last Update Date | 09/22/2026
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Provider Practice Location Address
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Address Line | 90 BROAD ST
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City | NEW YORK
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State | NY
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Zip | 10004-2205
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Country | US
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Telephone | 646-450-9431
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Fax | 212-898-0131
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Provider Business Mailing Address
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Address Line | 55 CLINTON PL
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City | NEW ROCHELLE
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State | NY
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Zip | 10801-6636
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Country | US
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Telephone | 646-450-9431
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Fax | 212-898-0131
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Authorized Official
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Title or Position | FOUNDER/CEO
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Name | DR. SIMONE ANDREWS
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Credential | PSY.D
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Telephone | 646-450-9431
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103TB0200X
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Taxonomy Name | Cognitive & Behavioral Psychologist
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Taxonomy #3
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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Taxonomy #4
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Taxonomy Code | 103TP2701X
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Taxonomy Name | Group Psychotherapy Psychologist
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License Number |
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