Active NPI
PS Psychological Services PA
- Psychologist
- Brooklyn, NY
National Provider Identifier
1053191114
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Legal business name
- PS PSYCHOLOGICAL SERVICES PA
- Practice address
- 419 Kingston Ave FL 2
Brooklyn, NY 11225-3127 - Phone
- (954) 494-8424
- NPI assigned
- Oct 4, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Daniel Sebbag, PSYD
- Title
- Owner
- Phone
- (917) 957-5268
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | |||
| Psychologist | 103T00000X | Primary | ||
| Behavioral Neurology & Neuropsychiatry Physician | 2084B0040X |
Addresses
Primary practice location
419 Kingston Ave FL 2
Brooklyn, NY 11225-3127
Mailing address
419 Kingston Ave FL 2
Brooklyn, NY 11225-3127
National Provider Directory
National Provider DirectoryLocations
419 Kingston Ave
Fl 2
Brooklyn, NY 11225
Phone (347) 770-4032
Practitioners & affiliated clinicians
Practitioners 1
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": "1696377600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1740096000000",
"number": "1053191114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "419 KINGSTON AVE FL 2",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112253127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "419 KINGSTON AVE FL 2",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112253127",
"telephone_number": "954-494-8424"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PS PSYCHOLOGICAL SERVICES PA",
"organizational_subpart": "NO",
"enumeration_date": "2023-10-04",
"last_updated": "2025-02-21",
"certification_date": "2025-02-21",
"status": "A",
"authorized_official_last_name": "SEBBAG",
"authorized_official_first_name": "DANIEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "917-957-5268",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSYD"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
},
{
"code": "2084B0040X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"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 Feb 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.