Pacem Psychological Services PC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

PACEM PSYCHOLOGICAL SERVICES PC

Practice address

4360 Douglaston Pkwy Apt 221
Douglaston, NY 11363-1881

Phone

(516) 410-5475

NPI assigned

Aug 12, 2022

Organization subpart

No

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

Authorized official

Name

Cajetan Okechukwu Uchendu

Title

Owner

Phone

(516) 410-5475

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1660262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660262400000",
    "number": "1083342331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4360 DOUGLASTON PKWY APT 221",
            "city": "DOUGLASTON",
            "state": "NY",
            "postal_code": "113631881",
            "telephone_number": "516-410-5475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4360 DOUGLASTON PKWY APT 221",
            "city": "DOUGLASTON",
            "state": "NY",
            "postal_code": "113631881",
            "telephone_number": "516-410-5475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACEM PSYCHOLOGICAL SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-12",
        "last_updated": "2022-08-12",
        "certification_date": "2022-08-12",
        "status": "A",
        "authorized_official_last_name": "UCHENDU",
        "authorized_official_first_name": "CAJETAN",
        "authorized_official_middle_name": "OKECHUKWU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-410-5475"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paula Oliva, LCSW
• Kenneth Robert Ong, MD
• Glenice Abigail Opatow, O.T.
• Opus Psychological Services, P.C
• Yasemin Osman, M.D.
• Janira Padilla-Rivera
• Palmadessa & Brodsky Gastroenterology Associates P.C.
• Donald John Palmadessa, M.D.
• Gloria Pan, RN
• Antonella Petti, SLP

• Clinical Psychologist in Douglaston, NY
• Providers in Douglaston, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2022; 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.