Senior Connections Psychological Services Of New York Pc
LBN: Senior Connections Psychological Se
Senior Connections Psychological Services Of New York Pc is an health care organization with primary practice located at 270 Riverside Dr. #201, Johnson City NY 13790. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty.
Senior Connections Psychological Se can be contacted via phone (845) 781-6061, or through Daniel, Stephen Allen via phone (845) 781-6061.
Contact Information
Primary practice address
270 Riverside Dr. #201
Johnson City NY 13790
Phone: (845) 781-6061
Fax: (607) 729-0757
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | ||
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | ||
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X |
Profile Details
| NPI number | 1265482491 |
|---|---|
| LBN Legal business name | Senior Connections Psychological Se |
| DBA Doing business as | Senior Connections Psychological Services Of New York Pc |
| Authorized official | Daniel, Stephen Allen PHD |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 10th, 2006 |
| Last updated | Oct 11th, 2012 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265482491 | NPPES |
| New York | MEDICAID | 02668179 | |
| New York | Other | DD5776 |
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