Organization Active NPI

Eg Psychological Services PC

  • Clinical Psychologist
  • Brooklyn, NY
National Provider Identifier
1184084386
Registry record updated Aug 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
020530 Issued in NY
Legal business name
EG PSYCHOLOGICAL SERVICES PC
Practice address
2023 E 67TH St
Brooklyn, NY 11234-6007
Phone
(917) 216-9638
NPI assigned
Mar 1, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2020

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

Authorized official

Name
Ester Goldvarg, PH.D.
Title
Owner
Phone
(917) 216-9638

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 020530 NY Primary

Addresses

Primary practice location

2023 E 67TH St
Brooklyn, NY 11234-6007

Mailing address

2023 E 67TH St
Brooklyn, NY 11234-6007
Phone (917) 216-9638

Other identifiers 1

IdentifierTypeStateIssuer
020530OtherNYSTATE LICENSE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1456790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597795200000",
    "number": "1184084386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2023 E 67TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112346007",
            "telephone_number": "917-216-9638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2023 E 67TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112346007",
            "telephone_number": "917-216-9638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EG PSYCHOLOGICAL SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-01",
        "last_updated": "2020-08-19",
        "certification_date": "2020-08-19",
        "status": "A",
        "authorized_official_last_name": "GOLDVARG",
        "authorized_official_first_name": "ESTER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-216-9638",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "020530",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "020530",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2020; 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.