Child Psychology of Long Island

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

Legal business name

CHILD PSYCHOLOGY OF LONG ISLAND

Practice address

55 Weeks St
Blue Point, NY 11715-1516

Phone

(631) 806-6889

NPI assigned

May 17, 2021

Last updated

May 17, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jacalyn Bruno, PSY.D.NPI 1356869812

Title

Psychologist

Phone

(631) 806-6889

Specialties & licenses 4

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jacalyn Bruno, PSY.D.

  • Psychologist
  • Blue Point, NY
  • NPI 1356869812
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1621209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621209600000",
    "number": "1003480799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 WEEKS ST",
            "city": "BLUE POINT",
            "state": "NY",
            "postal_code": "117151516",
            "telephone_number": "631-806-6889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 WEEKS ST",
            "city": "BLUE POINT",
            "state": "NY",
            "postal_code": "117151516",
            "telephone_number": "631-806-6889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILD PSYCHOLOGY OF LONG ISLAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-17",
        "last_updated": "2021-05-17",
        "certification_date": "2021-05-17",
        "status": "A",
        "authorized_official_last_name": "BRUNO",
        "authorized_official_first_name": "JACALYN",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "631-806-6889",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, School",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brianne Ceccio
• Dominique Kirsten Celis Pimentel, LPN
• Brenda Chang
• Jiabin Chen
• Daniela Chicaiza
• Margaret Christiansen, R.N.
• Kyla Nayshelle Church
• Kathleen Coan, MS, CCC-SLP
• Kevin M Coleman Sr., LCSW-R
• Nicole Victoria Connelly

• Clinical Child & Adolescent Psychologist in Blue Point, NY
• Providers in Blue Point, NY by specialty
• Clinical Child & Adolescent Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.