Dr. Max I Bolotin
Psychologist (Clinical)

Address: 49 East 96 Street Apt 12d, New York, NY 10128
Phone: 2128767276

Dr. Max I Bolotin (NPI# 1003317694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1003317694
Entity Type Individual
Full Name Dr. Max I Bolotin
Gender Male
Practice Address 49 East 96 Street Apt 12d
New York
NY 10128
Practice Telephone 2128767276
Mailing Address 49 East 96 Street Apt 12d
New York
NY 10128
Mailing Telephone 2128767276
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2018-02-28
Last Update Date 2018-02-28

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 103TC0700X Psychologist · Clinical Behavioral Health & Social Service Providers 002408-1 NY

Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth — one that is broadly inclusive of severe psychopathology — and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Notes: Source: American Psychological Association, www.apa.org [1/1/2019: new definition]

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Office Location

Street Address 49 EAST 96 STREET APT 12D
City NEW YORK
State NY
Zip Code 10128

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1326671314 Kathleen Forhan Student in an Organized Health Care Education/Training Program 116 East 92nd Street, Bsmnt, New York, NY 10128 2020-02-18
1811539638 Baron Shieh Physical Therapist 1844 Second Ave, New York, NY 10128 2019-10-14
1720641335 Michael Gary Rothenberg Psychologist 5 East 94th Street, New York, NY 10128 2019-04-18
1275003865 Desiree Caban Psychoanalyst 1449 Lexington Ave 4b1 East, New York, NY 10128 2018-11-27
1326514191 Yjk Anesthesia LLC Anesthesiology 403 East 91st, New York, NY 10128 2018-10-19
1619454568 Arthur Jenkins Md LLC Neurological Surgery 65 Eat 96th Street, Suite 1b, New York, NY 10128 2018-07-24
1285120832 Eric Axel Gerdner Social Worker 309 E 94th St Fl 4, New York, NY 10128 2018-07-06
1518471465 Elyse Palumbo Social Worker 305 East 92nd Street, New York, NY 10128 2017-11-29
1720505282 Arlene Kramer Richards Psychologist 200 East89 Street, 45bc, New York, NY 10128 2017-08-25
1518484419 Maayan Baron Psychologist 108 Ease 96th Apt, 2c, New York, NY 10128 2017-08-23
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Competitor

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City NEW YORK
Zip Code 10128

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.