Provider Demographics
NPI:1174543920
Name:JOHN G. GUINAN, PH.D. D.B.A. WALL STREET COUNSELING CENTER
Entity type:Organization
Organization Name:JOHN G. GUINAN, PH.D. D.B.A. WALL STREET COUNSELING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:G
Authorized Official - Last Name:GUINAN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:212-509-2411
Mailing Address - Street 1:82 WALL ST
Mailing Address - Street 2:SUITE 1105
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10005-3600
Mailing Address - Country:US
Mailing Address - Phone:212-509-2411
Mailing Address - Fax:212-968-7962
Practice Address - Street 1:82 WALL ST
Practice Address - Street 2:SUITE 1105
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10005-3600
Practice Address - Country:US
Practice Address - Phone:212-509-2411
Practice Address - Fax:212-968-7962
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY004421103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYV15372Medicare ID - Type Unspecified