IndividualActive
Philip Bockman, LCSW ACSW
NPI 1154538783 · Group Psychotherapy Psychologist · New York, NY
Provider details
- NPI number
- 1154538783
- Entity type
- Individual
- Primary specialty
- Group Psychotherapy PsychologistBehavioral Health & Social Service Providers
- Credential
- LCSW ACSW
- Sex
- Male
- Sole proprietor
- No
- License
- R0505141 (NY)
Practice location
817 Broadway
9th Fl., Room 2
New York, NY 10003
Phone: (917) 868-7405
Mailing address
1613 Green St
Philadelphia, PA 19130
Registry dates
- Enumerated
- 2007-05-16
- Last updated
- 2009-01-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.