NPIMap

Organization Active NPI

Psychological Facts PLLC

  • Psychologist
  • Syosset, NY
National Provider Identifier
1033610084
Registry record updated Jun 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
012853 Issued in NY
Legal business name
PSYCHOLOGICAL FACTS PLLC
Practice address
485 Underhill Blvd Ste 101
Syosset, NY 11791-3434
Phone
(516) 921-0183
NPI assigned
Feb 26, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2023

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

Authorized official

Name
Keri Chernuchin, PSY. D.NPI 1780185736
Title
Member/Psychologist
Phone
(516) 921-0183

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 012853 NY Primary

Addresses

Primary practice location

485 Underhill Blvd Ste 101
Syosset, NY 11791-3434

Mailing address

485 Underhill Blvd Ste 101
Syosset, NY 11791-3434
Phone (516) 921-0183

National Provider Directory

National Provider Directory

Locations

485 Underhill Blvd
Ste 107
Syosset, NY 11791
Phone (516) 340-0444

485 Underhill Blvd
Ste 101
Syosset, NY 11791
Phone (516) 584-2741

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1519603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685923200000",
    "number": "1033610084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "485 UNDERHILL BLVD STE 101",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117913434",
            "telephone_number": "516-921-0183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "485 UNDERHILL BLVD STE 101",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117913434",
            "telephone_number": "516-921-0183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOLOGICAL FACTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-26",
        "last_updated": "2023-06-05",
        "certification_date": "2022-08-03",
        "status": "A",
        "authorized_official_last_name": "CHERNUCHIN",
        "authorized_official_first_name": "KERI",
        "authorized_official_title_or_position": "MEMBER/PSYCHOLOGIST",
        "authorized_official_telephone_number": "516-921-0183",
        "authorized_official_credential": "PSY. D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "NY",
            "license": "012853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syosset, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2023; 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.