| Organization Name: | CENTER FOR COGNITIVE AND DIALECTICAL BEHAVIOR THERAPY |
| NPI Number: | 1013131465 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ADAM PAYNE (PSYCHOLOGIST) |
| Mailing Address: | 1981 Marcus Ave Suite C119 New Hyde Park |
| State: | NY US |
| Postal Code: | 110421038 |
| Phone Number: | 5163903525 |
| Fax Number: | 5163962195 |
| NPI Enumeration Date: | 04/13/2007 |
| NPI Last Update Date: | 06/03/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |