Provider Demographics
NPI:1639069065
Name:CHAITE, WENDY (JD, LMHC)
Entity type:Individual
Prefix:
First Name:WENDY
Middle Name:
Last Name:CHAITE
Suffix:
Gender:F
Credentials:JD, LMHC
Other - Prefix:
Other - First Name:WENDY
Other - Middle Name:
Other - Last Name:GELFAND-CHAITE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:30 WASHINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:GLEN HEAD
Mailing Address - State:NY
Mailing Address - Zip Code:11545-1543
Mailing Address - Country:US
Mailing Address - Phone:516-669-0722
Mailing Address - Fax:
Practice Address - Street 1:30 WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:GLEN HEAD
Practice Address - State:NY
Practice Address - Zip Code:11545-1543
Practice Address - Country:US
Practice Address - Phone:516-669-0722
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-07
Last Update Date:2025-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY016281101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health