Organization Active NPI

Clear Path Psychological Services, PLLC

  • Clinical Psychologist
  • Little Neck, NY
National Provider Identifier
1164118949
Registry record updated Apr 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
CLEAR PATH PSYCHOLOGICAL SERVICES, PLLC
Practice address
24930 Van Zandt Ave
Little Neck, NY 11362-1734
Phone
(646) 820-5829
NPI assigned
Apr 13, 2023
Last updated
Apr 13, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2023

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

Authorized official

Name
Lucy Kim, PSY.D.NPI 1740517184
Title
Director
Phone
(646) 820-5829

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 Psychologist 103TC0700X Primary
Clinical Child & Adolescent Psychologist 103TC2200X

Addresses

Primary practice location

24930 Van Zandt Ave
Little Neck, NY 11362-1734

Mailing address

24930 Van Zandt Ave
Little Neck, NY 11362-1734
Phone (646) 820-5829

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1681344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681344000000",
    "number": "1164118949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24930 VAN ZANDT AVE",
            "city": "LITTLE NECK",
            "state": "NY",
            "postal_code": "113621734",
            "telephone_number": "646-820-5829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24930 VAN ZANDT AVE",
            "city": "LITTLE NECK",
            "state": "NY",
            "postal_code": "113621734",
            "telephone_number": "646-820-5829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR PATH PSYCHOLOGICAL SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-13",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-13",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "LUCY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "646-820-5829",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Neck, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2023; 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.