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Contact Information

JIAYI K LIN IMADA, PSYD
3 COLUMBUS CIR STE 1425
NEW YORK, NY10019-8720
 Phone: 212-342-3800
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for JIAYI K LIN IMADA · (Female)

NPI # 1619526605
Status Active
Credentials PSYD (Doctor of Psychology)
Entity Individual
Enumeration date 09/11/2019
Last updated 06/24/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 024269
  • WA License # 61024141
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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