CHILD AND FAMILY PSYCHOLOGICAL SERVICES


Address: 521 Route 111 Ste 202, Hauppauge, NY 11788-4358
Phone: 6312659850

CHILD AND FAMILY PSYCHOLOGICAL SERVICES (NPI# 1801493366) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1801493366
Entity Type Organization
Organization Name CHILD AND FAMILY PSYCHOLOGICAL SERVICES
Practice Address 521 Route 111 Ste 202
Hauppauge
NY 11788-4358
Practice Telephone 6312659850
Practice Fax Number 6312659852
Mailing Telephone 6312659850
Mailing Fax Number 6312659852
Enumeration Date 2020-10-07
Last Update Date 2020-10-07
Authorized Official Name KRISTIE DOHENY (OWNER)
Authorized Official Telephone 6312659850
Authorized Official Credential PSYD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
Ambulatory Health Care Facilities

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1578848776 Child and Family Psychological Services Nutritionist 160 Commonweatlh Avenue, Suite U3, Boston, MA 02116 2011-10-19

Other Data Sources

Entity Type Entity Name Entity Address
Connecticut Business Registrations CHILD AND FAMILY PSYCHOLOGICAL SERVICES, PLLC 10655 Ne 4th St Ste 901, Bellevue, WA 98004

Office Location

Street Address 521 ROUTE 111 STE 202
City HAUPPAUGE
State NY
Zip Code 11788-4358

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Taxonomy Information

Taxonomy Code 261QM0801X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Mental Health (Including Community Mental Health Center)

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1700487378 Listening Ear Counseling and Therapy Clinic/Center 36 Watergate Dr, Amawalk, NY 10501-1107 2020-11-02
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1942807276 Jason Diana Lmsw Clinic/Center 50 West Hawthorne Ave 2nd Floor, Valley Stream, NY 11580 2020-10-09
1962015248 Melissa Gottlieb Clinic/Center 285 Livingston St Fl 1, Brooklyn, NY 11217-1006 2020-08-26
1235749409 Wong Thies Psychology, Pllc Clinic/Center 11050 71st Rd Ste 1m, Forest Hills, NY 11375-4972 2020-08-03
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1023626678 Ra Psychiatric Np Services Pllc Clinic/Center 2722 Hering Ave, Bronx, NY 10469-5321 2020-07-20
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Competitor

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City HAUPPAUGE
Zip Code 11788

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Dataset Information

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.

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