Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Avita Psychological Care PLLC

Organization Clinical Psychologist · NPI 1851852545

Avita Psychological Care PLLC is a Clinical Psychologist in New York, New York. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1177 Avenue Of The Americas Fl 5
New York, NY 10036-2714
Phone: (888) 284-8272
Fax: (888) 284-8272
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X

Record details

NPI number1851852545
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kalman Khodik — Owner/Director · (888) 284-8272
Other names Avita Psycare
NPI enumeratedMarch 26, 2019
Last updated in NPPESApril 11, 2025
Certification dateApril 11, 2025
Mailing address1177 Avenue Of The Americas Fl 5, New York, NY 10036-2714

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