Provider Demographics
NPI:1447374624
Name:PSYCHOLOGICAL SERVICES FOR MULTICULTURAL THERAPY, P.C.
Entity type:Organization
Organization Name:PSYCHOLOGICAL SERVICES FOR MULTICULTURAL THERAPY, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:RUTH
Authorized Official - Last Name:COPE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:212-222-0349
Mailing Address - Street 1:392 CENTRAL PARK WEST
Mailing Address - Street 2:SUITE 8D
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025-5815
Mailing Address - Country:US
Mailing Address - Phone:212-222-0349
Mailing Address - Fax:212-222-4594
Practice Address - Street 1:19 WEST 34TH STREET
Practice Address - Street 2:SUITE 1200
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001
Practice Address - Country:US
Practice Address - Phone:212-947-7111
Practice Address - Fax:212-222-4594
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY010709103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02174472Medicaid
NY943618Medicare UPIN
NYVL5201Medicare ID - Type Unspecified