Organization Active NPI

Individual, Marriage/Divorce and Family Studies, Inc.

  • Psychologist
  • Merrick, NY
National Provider Identifier
1043536741
Registry record updated Apr 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
INDIVIDUAL, MARRIAGE/DIVORCE AND FAMILY STUDIES, INC.
Practice address
2748 Riverside Ave
Merrick, NY 11566-4917
Phone
(516) 867-8330
Fax
(516) 771-6455
NPI assigned
Apr 20, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2010

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

Authorized official

Name
Bruce Kahl, PH.D
Title
Psychologist President of Corp.
Phone
(516) 867-8330

Specialties & licenses 1

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

Addresses

Primary practice location

2748 Riverside Ave
Merrick, NY 11566-4917

Mailing address

2748 Riverside Ave
Merrick, NY 11566-4917
Phone (516) 867-8330

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1271721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271721600000",
    "number": "1043536741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2748 RIVERSIDE AVE",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115664917",
            "telephone_number": "516-867-8330",
            "fax_number": "516-771-6455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2748 RIVERSIDE AVE",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115664917",
            "telephone_number": "516-867-8330",
            "fax_number": "516-771-6455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIVIDUAL, MARRIAGE/DIVORCE AND FAMILY STUDIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-20",
        "last_updated": "2010-04-20",
        "status": "A",
        "authorized_official_last_name": "KAHL",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "PSYCHOLOGIST PRESIDENT OF CORP.",
        "authorized_official_telephone_number": "516-867-8330",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrick, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2010; 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.