Organization Active NPI

Psychological Consultation and Therapy Services, PLLC

  • Clinical Psychologist
  • Yonkers, NY
National Provider Identifier
1154338242
Registry record updated Mar 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
009187 Issued in NY
Legal business name
PSYCHOLOGICAL CONSULTATION AND THERAPY SERVICES, PLLC
Practice address
1250 Central Park Ave # 2
Yonkers, NY 10704-1044
Phone
(914) 965-1179
Fax
(914) 965-1859
NPI assigned
Aug 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2018

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

Authorized official

Name
Dr. Paul J Gunser, PSY.D.NPI 1598766628
Title
Owner
Phone
(914) 965-1179

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 009187 NY Primary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X

Addresses

Primary practice location

1250 Central Park Ave # 2
Yonkers, NY 10704-1044

Mailing address

1250 Central Park Ave # 2
Yonkers, NY 10704-1044
Phone (914) 965-1179

Other practice location 1

984 N Broadway
Suite 419
Yonkers, NY 10701-1318
Phone (914) 965-1179

Other identifiers 3

IdentifierTypeStateIssuer
1154338242OtherNYGROUP NPI
1598766628OtherNYPERSONAL NPI
W36361OtherNYPCAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071001000318 NY Part B Supplier - Clinic/Group Practice 1951496371 Receives reassigned benefits from 1 practitioner
Practice locations: Millerton, NY

National Provider Directory

National Provider Directory

Locations

1250 Central Park Ave
#2
Yonkers, NY 10704
Phone (914) 965-1179

984 N Broadway
Ste 419
Yonkers, NY 10701
Phone (718) 601-8846

1250 Central Park Ave
Ste 2
Yonkers, NY 10704
Phone (914) 965-1179

967 Broadway
#419
Yonkers, NY 10701
Phone (914) 965-1179

Practitioners & affiliated clinicians

Practitioners 3

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": "1154476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521158400000",
    "number": "1154338242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 CENTRAL PARK AVE # 2",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107041044",
            "telephone_number": "914-965-1179",
            "fax_number": "914-965-1859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 CENTRAL PARK AVE # 2",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107041044",
            "telephone_number": "914-965-1179",
            "fax_number": "914-965-1859"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "984 N Broadway",
            "address_2": "Suite 419",
            "address_purpose": "LOCATION",
            "city": "Yonkers",
            "state": "NY",
            "postal_code": "107011318",
            "country_code": "US",
            "telephone_number": "914-965-1179",
            "fax_number": "914-965-1859",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PSYCHOLOGICAL CONSULTATION AND THERAPY SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-02",
        "last_updated": "2018-03-16",
        "status": "A",
        "authorized_official_last_name": "GUNSER",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-965-1179",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "009187",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1154338242",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL NPI",
            "identifier": "1598766628",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PCAN",
            "identifier": "W36361",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2018; 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.