Organization · Type 2 NPI

Fort Health Medical Group PA

Child & Adolescent Psychiatry Physician · New York, NY

NPI number 1114789005 Active

Practice location

85 5th Ave, 8th Floor
New York, NY 10003

Mailing address

613 Washington Blvd # 1297
Jersey City, NJ 07310-2900

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Clinical Social Worker 1041C0700XNone listed
Marriage & Family Therapist 106H00000XNone listed
Child & Adolescent Psychiatry Physician Primary 2084P0804XNone listed
Psychiatric/Mental Health Nurse Practitioner 363LP0808XNone listed

Child & Adolescent Psychiatry Physician: Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

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About NPI 1114789005

Fort Health Medical Group PA's National Provider Identifier is 1114789005, issued on Jan 25, 2024. The primary taxonomy on file is Child & Adolescent Psychiatry Physician (2084P0804X), and the practice location is in New York, NY. The record was last updated on Mar 26, 2025.