Organization
DR NAHAL C KAIVAN PSYCHOLOGICAL SERVICES PLLC
Active
Other names
Ellie Mental Health
Organization subpart
No
Provider details
NPI number
Authorized official
NAHAL KAIVAN PH.D. (OWNER/CLINIC DIRECTOR)
(858) 735-5425
Entity
Organization
Contact information
Practice address
2001 PALMER AVE STE 205, LARCHMONT, NY 10538-2420
(917) 979-8736
(914) 292-9166
Mailing address
2001 PALMER AVE STE 205, LARCHMONT, NY 10538-2420
(917) 979-8736
(914) 292-9166
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
07/03/2024
Last updated
10/28/2024
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