Active Change Psychological Services, Pllc

LBN: Active Change Psychological Services, Pllc
Active Change Psychological Services, Pllc is an health care organization with primary practice located at 6800 Jericho Tpke Ste 120W , Syosset NY 11791-4445. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as the primary health care specialty. Active Change Psychological Services, Pllc can be contacted via phone (516) 835-2048, or through Saul, Jay Evan via phone (516) 835-2048.

Contact Information

Primary practice address
6800 Jericho Tpke Ste 120W Syosset NY 11791-4445
Phone: (516) 835-2048
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Saul, Jay Evan PH.D.
Phone: (516) 835-2048

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X

Profile Details

NPI number 1053938837
LBN Legal business name Active Change Psychological Services, Pllc
DBA Doing business as
Authorized official Saul, Jay Evan PH.D.
Entity Organization
Organization subpart 1 No
Enumeration date Jun 29th, 2020
Last updated Jun 29th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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