United Supports for Autism

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

017826 Issued in NY

Legal business name

UNITED SUPPORTS FOR AUTISM

Practice address

283 Commack Rd.
Suite 205
Commack, NY 11725-6021

Phone

(516) 848-8551

NPI assigned

Jan 25, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Brian J Goldberg, PSY.D.NPI 1689918146

Title

Psychologist/Owner

Phone

(516) 848-8551

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brian Goldberg, PSY.D., BCBA-D

  • Intellectual & Developmental Disabilities Psychologist
  • Commack, NY
  • NPI 1689918146
  NPD (past) Authorized official

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

{
    "created_epoch": "1327449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327449600000",
    "number": "1124399928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "283 COMMACK RD",
            "address_2": "SUITE 205",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117256021",
            "telephone_number": "516-848-8551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "283 COMMACK RD.",
            "address_2": "SUITE 205",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117256021",
            "telephone_number": "516-848-8551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED SUPPORTS FOR AUTISM",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-25",
        "last_updated": "2012-01-25",
        "status": "A",
        "authorized_official_last_name": "GOLDBERG",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PSYCHOLOGIST/OWNER",
        "authorized_official_telephone_number": "516-848-8551",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NY",
            "license": "017826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alison Flohn Tyrell, SCHOOL PSYCHOLOGIST
• Dinosca Melissa Umana
• Amy Nicole Ungar
• United Cerebral Palsy Association of Greater Suffolk, Inc
• United Cerebral Palsy Association of Greater Suffolk, Inc.
• Universal Hearing LLC
• University Hospital at Stony Brook
• Madison Leigh Urraro, LMSW
• Amy Uthup
• Shawn Uthup

• Community/Behavioral Health Agency in Commack, NY
• Providers in Commack, NY by specialty
• Community/Behavioral Health Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2012; 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.