Modern Psychological Services, Pllc

LBN: Modern Psychological Services, Pllc
Modern Psychological Services, Pllc is an health care organization with primary practice located at 57 Allen Ct , Staten Island NY 10310-2702. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Forensic. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty. Modern Psychological Services, Pllc can be contacted via phone (347) 838-0403, or through Campbell, Ashley via phone (347) 838-0403.

Contact Information

Primary practice address
57 Allen Ct Staten Island NY 10310-2702
Phone: (347) 838-0403
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Campbell, Ashley PSY.D.
Phone: (347) 838-0403

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Clinical 103TC0700X
Behavioral Health & Social Service Providers / Forensic 103TF0200X

Profile Details

NPI number 1447000112
LBN Legal business name Modern Psychological Services, Pllc
DBA Doing business as
Authorized official Campbell, Ashley PSY.D.
Entity Organization
Organization subpart 1 No
Enumeration date Mar 25th, 2024
Last updated Apr 20th, 2024 - about last year

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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