# BLC PSYCHOLOGY TRIBECA PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679995690
- **Authorized official:** DR. KELLY GEISLER PSY.D (OFFICER)
- **Authorized official phone:** (516) 902-3902

## Contact information

- **Practice address:** 79 CHAMBERS ST, SECOND FLOOR, NEW YORK, NY 10007-1824
- **Practice address phone:** (516) 902-3902
- **Mailing address:** 79 CHAMBERS ST, SECOND FLOOR, NEW YORK, NY 10007-1824
- **Mailing address phone:** (516) 902-3902

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103G00000X | Clinical Neuropsychologist | — | NULL | — |
| 103G00000X | Clinical Neuropsychologist | — | — | — |
| 103TC2200X | Clinical Child & Adolescent Psychologist | — | NULL | Yes |
| 103TC2200X | Clinical Child & Adolescent Psychologist | — | — | Yes |

## Other

- **Enumeration date:** 01/09/2014
- **Last updated:** 01/22/2014