Reflective Psychology Associates, PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

013953 Issued in NY

Legal business name

REFLECTIVE PSYCHOLOGY ASSOCIATES, PLLC

Practice address

144 Woodbury Rd
16
Woodbury, NY 11797-1418

Phone

(516) 900-2541

NPI assigned

Nov 25, 2014

Organization subpart

No

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

Authorized official

Name

Sally Ann Graham, PHDNPI 1336210293

Title

President

Phone

(516) 900-2541

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

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

• Sally Ann Graham, PHD

  • Psychologist
  • East Meadow, NY
  • NPI 1336210293
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1416873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416873600000",
    "number": "1124425756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 WOODBURY RD",
            "address_2": "16",
            "city": "WOODBURY",
            "state": "NY",
            "postal_code": "117971418",
            "telephone_number": "516-900-2541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 WOODBURY RD",
            "address_2": "16",
            "city": "WOODBURY",
            "state": "NY",
            "postal_code": "117971418",
            "telephone_number": "516-900-2541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REFLECTIVE PSYCHOLOGY ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-25",
        "last_updated": "2014-11-25",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "SALLY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-900-2541",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "013953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Rabinowicz, P.T.
• Rachel Rader, OTR/L
• Rukaiya Rahim
• Rapid Access Medical Diagnostics PLLC
• Ravindra Bhachawat Medicine PC
• Tina Reich, PH.D.
• Aimee Reifer
• Tara L Reinhardt, RPH
• Renew Wellness Inc
• Mary Ellen Renna, M.D.

• Clinical Psychologist in Woodbury, NY
• Providers in Woodbury, 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 Nov 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.