Individual provider · Type 1 NPI
Michael Ivanov, PhD
Clinical Psychologist · New York, NY
Practice location
222 E 44th St Apt 19K
New York, NY 10017-4453
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Psychologist Primary | 103TC0700X | 020355 (NY) |
Clinical Psychologist: 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 discip…
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About NPI 1639234313
Michael Ivanov, PhD's National Provider Identifier is 1639234313, issued on Dec 23, 2006. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in New York, NY. The record was last updated on Aug 12, 2025.