Organization
AVITA PSYCHOLOGICAL CARE PLLC
Active
Other names
Avita PsyCare
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KALMAN KHODIK PSY.D. (OWNER/DIRECTOR)
(888) 284-8272
Entity
Organization
Contact information
Practice address
1177 AVENUE OF THE AMERICAS FL 5, NEW YORK, NY 10036-2714
(888) 284-8272
(888) 284-8272
Mailing address
1177 AVENUE OF THE AMERICAS FL 5, NEW YORK, NY 10036-2714
(888) 284-8272
(888) 284-8272
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
03/26/2019
Last updated
04/11/2025
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