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COSMIC PSYCH-MEDX
NPI 1326649146
Marriage & Family Therapist in Brooklyn, NY

Active since November 06, 2020
2065 E 54TH ST APT 2, BROOKLYN, NY 11234(347) 465-0684(347) 465-0684 Get Directions Write a Review

NPPES record last updated: November 6, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Cosmic Psych-medx NPPES

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

COSMIC PSYCH-MEDX (NPI 1326649146) is a healthcare organization registered as a marriage & family therapist in Brooklyn, New York and active in the NPI registry since November 2020. The organization lists Hatshepsut Nolene Kisa-davidson, Chief Clinician, as its authorized official.

NPPES Registry Identity

NPI1326649146
Entity TypeOrganization
Primary Taxonomy106H00000X
Legal Business NameCOSMIC PSYCH-MEDX
Location Address2065 E 54TH ST APT 2Brooklyn, NY 11234-4750
Mailing AddressPo Box 260031Brooklyn, NY 11226-0031 · (347) 465-0684 · Fax (347) 465-0684
Phone(347) 465-0684
Fax(347) 465-0684
Organization SubpartNo
Authorized OfficialHatshepsut Nolene Kisa-davidsonChief Clinician · (347) 465-0684
Enumeration DateNovember 6, 2020
NPPES CertifiedNovember 6, 2020
✔ NPI 1326649146 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
2065 E 54TH ST APT 2, Brooklyn, NY 11234
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Cosmic Psych-Medx's NPI number?

The NPI number for Cosmic Psych-Medx is 1326649146. It was assigned to this organization in the NPPES registry on November 6, 2020.

Where is Cosmic Psych-Medx located?

Cosmic Psych-Medx is located at 2065 E 54th St Apt 2, Brooklyn, NY 11234. The listed phone number is (347) 465-0684.

What is Cosmic Psych-Medx's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

When was this NPI record last updated?

The NPPES record for Cosmic Psych-Medx was last updated on November 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.