Downstate Iclc Psychological Services, Pllc

LBN: Downstate Iclc Psychological Services, Pllc
Downstate Iclc Psychological Services, Pllc is an health care organization with primary practice located at 445 Lenox Rd Suite D, Brooklyn NY 11203-2017. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Psychologist is the primary health care specialty. Downstate Iclc Psychological Services, Pllc can be contacted via phone (718) 270-2036, or through Hittelman, Joan via phone (718) 270-2036.

Contact Information

Primary practice address
445 Lenox Rd Suite D Brooklyn NY 11203-2017
Phone: (718) 270-2036
Fax: (718) 270-3910
Website:
Map and Directions
Authorized official contact:
Name: Hittelman, Joan PH.D.
Phone: (718) 270-2036

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X
Behavioral Health & Social Service Providers / Social Worker 104100000X

Profile Details

NPI number 1164572723
LBN Legal business name Downstate Iclc Psychological Services, Pllc
DBA Doing business as
Authorized official Hittelman, Joan PH.D.
Entity Organization
Organization subpart 1 No
Enumeration date Jan 12th, 2007
Last updated Aug 22nd, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1164572723 NPPES
New York MEDICAID 02800071

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