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

Ethan a Graham PHD Psychologist PLLC

Organization Clinical Psychologist · NPI 1174800791

Ethan a Graham PHD Psychologist PLLC is a Clinical Psychologist in New York, New York. Licensed in New York. Registered with an NPI since 2011.

Licensed in
NY
In the registry since
2011
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

330 W 58th St Ste 405
New York, NY 10019-1820
Phone: (718) 702-2437
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 018415 (NY)

Record details

NPI number1174800791
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ethan Graham — Psychologist · (718) 702-2437
NPI enumeratedNovember 10, 2011
Last updated in NPPESNovember 10, 2011
Mailing address330 West 58th Street, Suite 405, New York, NY 10019-1820

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