Carolyn J Breuer, PH.D.
Individual provider Active NPI Clinical Psychologist · Garnerville, NY
NPI 1063842409 · NPPES record last updated Nov 21, 2013
Key facts
- NPI
- 1063842409
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 013128 (NY)
- Practice address
- 65 Chapel St
Garnerville, NY 10923-1238 - Phone
- (845) 942-3213
- NPI assigned
- Nov 21, 2013
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 013128 | NY | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Haverstraw-Stony Point CSD | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 013128 | NY | Yes |
Addresses
Primary practice location
65 Chapel St
Garnerville, NY 10923-1238
Mailing address
9 Moriah LN
Suffern, NY 10901-3709
Phone (845) 368-0328
Other providers in Garnerville, NY
- Jared Boateng
- Katelynn Bowen
- Meghan Lynn Brassfield
- Bradley Deane Breeding
- Erica Brentnall
- Luckna Valery Brizard
- Madriana T Candelario
- Patricia Ann Carrig
- Robert Chen
- Citywide Homecare Management Corp.
All providers in Garnerville, NY · Clinical Psychologist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 21, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.