Organization Active NPI

Counseling and Sport Psychology Services, PLLC

  • Counseling Psychologist
  • Scarsdale, NY
National Provider Identifier
1073786216
Registry record updated Oct 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
017377 Issued in NY
Legal business name
COUNSELING AND SPORT PSYCHOLOGY SERVICES, PLLC
Practice address
2 Overhill Rd Ste 400
Scarsdale, NY 10583
Phone
(914) 582-4268
NPI assigned
Apr 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2018

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

Authorized official

Name
Deborah N Roche, PH.D.NPI 1447772397
Title
Director
Phone
(914) 582-4268

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
Counseling PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC1900X 017377 NY Primary

Addresses

Primary practice location

2 Overhill Rd Ste 400
Scarsdale, NY 10583

Mailing address

2 Overhill Rd Ste 400
Scarsdale, NY 10583-5316
Phone (914) 582-4268

Other practice location 1

280 Madison Ave Rm 1004
New York, NY 10016-0808
Phone (914) 582-4268

National Provider Directory

National Provider Directory

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": "1207699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538611200000",
    "number": "1073786216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 OVERHILL RD STE 400",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105835316",
            "telephone_number": "914-582-4268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 OVERHILL RD STE 400",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "10583",
            "telephone_number": "914-582-4268"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "280 Madison Ave Rm 1004",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100160808",
            "country_code": "US",
            "telephone_number": "914-582-4268",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COUNSELING AND SPORT PSYCHOLOGY SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-09",
        "last_updated": "2018-10-04",
        "status": "A",
        "authorized_official_last_name": "ROCHE",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "914-582-4268",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": "NY",
            "license": "017377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scarsdale, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2018; 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.