Active NPI
Counseling and Sport Psychology Services, PLLC
- Counseling Psychologist
- Scarsdale, NY
National Provider Identifier
1073786216
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 017377
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Deborah N Roche, PH.D.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 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 DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Counseling Psychologist
- White Plains, NY
- NPI 1447772397
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.