DR. MICHAEL A CIVIN I PHD
NPI 1265655419
Psychologist - Clinical in Bronx, NY

Active since April 10, 2007
696 E 187TH ST, 205-208, BRONX, NY 10458(516) 641-6358 Get Directions Write a Review

NPPES record last updated: January 3, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Michael A Civin I Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MICHAEL A CIVIN I PHD (NPI 1265655419) is an individual clinical provider in Bronx, New York, licensed in New York (010129) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1265655419
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. MICHAEL A CIVIN ICredential: PHD
Location Address696 E 187TH ST, 205-208Bronx, NY 10458-6800
Mailing Address696 E 187th St, 205-208Bronx, NY 10458-6800 · (516) 641-6358
Sole ProprietorYes
Enumeration DateApril 10, 2007
Last NPPES UpdateJanuary 3, 2011
NPI 1265655419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in NY · 010129
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.
Also ListedPsychoanalystTaxonomy 102L00000X
696 E 187TH ST, Bronx, NY 10458

Other Identifiers 2

Medicaid01174941NY
Medicare PINVN4212NY

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist (Clinical)
696 E 187TH ST, 205-8
BRONX, NY 10458

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Civin's NPI number?

The NPI number for Michael Civin is 1265655419. It was assigned to this individual provider in the NPPES registry on April 10, 2007.

Where is Michael Civin located?

Michael Civin practices at 696 E 187th St 205-208, Bronx, NY 10458. The listed phone number is (516) 641-6358.

What is Michael Civin's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Michael Civin was last updated on January 3, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.