Provider Demographics
NPI:1023879327
Name:COLUMBUS CIRCLE PSYCHOLOGY P.C.
Entity type:Organization
Organization Name:COLUMBUS CIRCLE PSYCHOLOGY P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT (PSYCHOLOGIST)
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:W
Authorized Official - Last Name:ROSEN
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:917-687-6232
Mailing Address - Street 1:240 CENTRAL PARK SOUTH
Mailing Address - Street 2:SUITE 2H-A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10019
Mailing Address - Country:US
Mailing Address - Phone:917-687-6232
Mailing Address - Fax:
Practice Address - Street 1:240 CENTRAL PARK SOUTH
Practice Address - Street 2:SUITE 2H-A
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019
Practice Address - Country:US
Practice Address - Phone:917-687-6232
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-23
Last Update Date:2024-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical