NORTHSIDE PSYCHOLOGY PLLC (NPI# 1477058998) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477058998 |
| Entity Type | Organization |
| Organization Name | NORTHSIDE PSYCHOLOGY PLLC |
| Practice Address |
331 Leonard St Ste 1f Brooklyn NY 11211-2309 |
| Practice Telephone | 7186691919 |
| Practice Fax Number | 3473085985 |
| Mailing Telephone | 7186691919 |
| Mailing Fax Number | 3473085985 |
| Enumeration Date | 2018-03-27 |
| Last Update Date | 2018-03-27 |
| Authorized Official Name | DR. DAVID MAHONY (CLINICAL PSYCHOLOGIST) |
| Authorized Official Telephone | 7186681919 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 013606 | NY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01947837 | 05 |
| Street Address |
331 LEONARD ST STE 1F |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11211-2309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265068407 | Kent Russell Siady | Physical Therapist | 240 South 3rd.street, Brooklyn, NY 11211 | 2020-03-19 |
| 1285268623 | Rafieh Pharmacy | Pharmacy | 70 Lee Ave Store, Brooklyn, NY 11211 | 2020-02-25 |
| 1306314471 | Incontrol Nutrition | Dietitian, Registered | 378 Union Avenue, Office C, Brooklyn, NY 11211 | 2018-11-07 |
| 1073027751 | Alicia Perez | Counselor | 141 South 5th Street, Office West #6, Brooklyn, NY 11211 | 2017-11-16 |
| 1003350265 | Hani Alsergani | Internal Medicine | King Faisal Specialist Hospital. Heart Center., Takasussi Street. Mbc 16, Riyadh, CENTRAL 11211 | 2016-12-07 |
| 1043769805 | Jennifer S Budhan | Social Worker | 378 Union Ave, Office B, Brooklyn, NY 11211 | 2016-09-21 |
| 1174978613 | Amor Siozon | Physical Therapist | 185 Marcy Avenue, Brooklyn, NY 11211 | 2016-05-03 |
| 1649656638 | Albalis Chavez | Specialist | 334 South Third Street. Apt. 3c, Brooklyn, NY 11211 | 2015-08-03 |
| 1114315033 | Maja Mirkovic | Dietitian, Registered | 378 Union Avenue, Office C, Brooklyn, NY 11211 | 2014-12-30 |
| 1447687033 | Sarah Maria Johnson | Counselor | 190 S8 St. Apt. 14, Brooklyn, NY 11211 | 2013-09-27 |
| Find all providers in zip 11211 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700487774 | Rebecca Kason | Psychologist | 38 Broome St Apt 2b, Brooklyn, NY 11222-5515 | 2020-11-05 |
| 1780295790 | Jiyoon Lee | Psychologist | 6 Metrotech Ctr # B020, Brooklyn, NY 11201-3840 | 2020-08-12 |
| 1912517608 | Hannah Wertz | Psychologist | 485 7th Ave Apt 3, Brooklyn, NY 11215-5545 | 2020-08-06 |
| 1023636271 | Jenny Wallier | Psychologist | 75 80th St, Brooklyn, NY 11209-3511 | 2020-07-13 |
| 1669096632 | Gaurang Choksi | Psychologist | 44 Meserole St Apt 401, Brooklyn, NY 11206-1996 | 2020-06-04 |
| 1164057436 | Clear Reflections Psychotherapy Pllc | Psychologist | 225 S Main St Ste C, Brooklyn, MI 49230-9158 | 2020-03-07 |
| 1306482021 | Sara Teta | Psychologist | 436 Court Street # 7, Brooklyn, NY 11231 | 2019-11-19 |
| 1346895125 | Margo Kahn | Psychologist | 1326 38th St, Brooklyn, NY 11218-3612 | 2019-08-07 |
| 1134773559 | Flourish Psychology, Pllc | Psychologist | 300 Cadman Plz W # 12115, Brooklyn, NY 11201-3229 | 2019-07-25 |
| 1598328007 | Scott Lyons | Psychologist | 380 Butler St Apt 3, Brooklyn, NY 11217-3103 | 2019-04-19 |
| Find all providers in BROOKLYN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.