AVITA PSYCHOLOGICAL CARE PLLC
NPI 1851852545
Psychologist - Clinical in New York, NY

Q: What is Avita Psychological Care PLLC's NPI number?

The NPI number for Avita Psychological Care PLLC is 1851852545. It was assigned to this organization in the NPPES registry on March 26, 2019. The provider is doing business as Avita PsyCare.

Q: What is Avita Psychological Care PLLC's specialty?

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

Active since March 26, 2019

1177 AVENUE OF THE AMERICAS FL 5, NEW YORK, NY 10036(888) 284-8272(888) 284-8272 Get Directions Write a Review

NPPES record last updated: April 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 11, 2025, Jun 11, 2019 (2 updates tracked since 2019).

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About Avita Psychological Care Pllc NPPES

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

AVITA PSYCHOLOGICAL CARE PLLC (NPI 1851852545), doing business as Avita Psycare, is a healthcare organization registered as a clinical in New York, New York and active in the NPI registry since March 2019. The organization lists Kalman Khodik, Owner/director, as its authorized official.

NPPES Registry Identity

NPI1851852545

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameAVITA PSYCHOLOGICAL CARE PLLC

Location Address1177 AVENUE OF THE AMERICAS FL 5New York, NY 10036-2714

Mailing Address1177 Avenue Of The Americas Fl 5New York, NY 10036-2714 · (888) 284-8272 · Fax (888) 284-8272

Phone(888) 284-8272

Fax(888) 284-8272

Organization SubpartNo

Authorized OfficialKalman KhodikOwner/director · (888) 284-8272

Enumeration DateMarch 26, 2019

Last NPPES UpdateApril 11, 20252 updates tracked since enumeration

NPPES CertifiedApril 11, 2025

✔ NPI 1851852545 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

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.

1177 AVENUE OF THE AMERICAS FL 5, New York, NY 10036

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Other Names 1

Doing Business AsAvita Psycare

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

Other Providers at the Same Location NPPES 4

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

DR. KALMAN KHODIK PSY.D

Psychologist (Clinical)

1177 AVENUE OF THE AMERICAS FL 5
NEW YORK, NY 10036

New York County (888) 284-8272

DR. CHARLOTTE L GRILLOT PHD

Psychologist (Clinical)

1177 AVENUE OF THE AMERICAS FL 5
NEW YORK, NY 10036

New York County (888) 242-2732

ALYSSA ZAKARYAN

Social Worker (Clinical)

1177 AVENUE OF THE AMERICAS FL 5
NEW YORK, NY 10036

New York County (347) 486-4092

JEWEL BLETCHER LPN

Licensed Practical Nurse

1177 AVENUE OF THE AMERICAS FL 5
NEW YORK, NY 10036

New York County (646) 906-9630

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 Avita Psychological Care PLLC's NPI number?

The NPI number for Avita Psychological Care PLLC is 1851852545. It was assigned to this organization in the NPPES registry on March 26, 2019. The provider is doing business as Avita PsyCare.

Where is Avita Psychological Care PLLC located?

Avita Psychological Care PLLC is located at 1177 Avenue Of The Americas Fl 5, New York, NY 10036. The listed phone number is (888) 284-8272.

What is Avita Psychological Care PLLC'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 Avita Psychological Care PLLC was last updated on April 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.