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:
Map and Directions
Authorized official contact:
Name: Daniel, Stephen Allen PHD
Phone: (845) 781-6061

Health care specialties

SpecialtyCodeLicense #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 14 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 1265482491 NPPES
New York MEDICAID 02668179
New York Other DD5776

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