NPIMap

Organization Active NPI

Che Senior Psychological Services, PC

  • Clinical Psychologist
  • Brooklyn, NY
National Provider Identifier
1023078219
Registry record updated Nov 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
CHE SENIOR PSYCHOLOGICAL SERVICES, PC
Practice address
300 Cadman PLZ W
Brooklyn, NY 11201-3229
Phone
(888) 515-3834
NPI assigned
Mar 23, 2006
Last updated
Nov 3, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2022

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

Authorized official

Name
Christopher R Dennis, MDNPI 1811068349
Title
Owner
Phone
(888) 515-3834

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X NU Primary
Clinical Social Worker 1041C0700X NU
Psychiatry Physician 2084P0800X NU
Physician Assistant 363A00000X NU
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU

Addresses

Primary practice location

300 Cadman PLZ W
Brooklyn, NY 11201-3229

Mailing address

PO Box 68049
Newark, NJ 07101-8085
Phone (888) 515-3834

Other identifiers 1

IdentifierTypeStateIssuer
01605614MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040322001429 NY Part B Supplier - Clinic/Group Practice 8022905314 Receives reassigned benefits from 459 practitioners

National Provider Directory

National Provider Directory

Locations

801 Co Op City Blvd
Bronx, NY 10475
Phone (718) 239-6444

140 Saint Edwards St
Brooklyn, NY 11201
Phone (718) 858-6400

3512 Quentin Rd
Ste 110
Brooklyn, NY 11234
Phone (718) 854-8370

2365 Union Rd
Cheektowaga, NY 14227
Phone (716) 668-8100

4570 Route 60
Gerry, NY 14740
Phone (716) 985-4612

9 West St
Haverstraw, NY 10927
Phone (845) 429-5381

537 Route 22
Purdys, NY 10578
Phone (914) 277-3691

111 Saint Gregory Ct
Williamsville, NY 14221
Phone (716) 689-2394

Practitioners & affiliated clinicians

Practitioners 619

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.

View all 619

NPI Registry JSON

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667433600000",
    "number": "1023078219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 68049",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071018085",
            "telephone_number": "888-515-3834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 CADMAN PLZ W",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112013229",
            "telephone_number": "888-515-3834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHE SENIOR PSYCHOLOGICAL SERVICES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-23",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-03",
        "status": "A",
        "authorized_official_last_name": "DENNIS",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "888-515-3834",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01605614",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.