Organization Active NPI

Pruitt Psychological Services

  • Counseling Psychologist
  • Delmar, NY
National Provider Identifier
1184423030
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
Legal business name
PRUITT PSYCHOLOGICAL SERVICES
Practice address
200 Delaware Ave
Delmar, NY 12054-1227
Phone
(518) 417-1905
NPI assigned
Mar 12, 2025
Last updated
Mar 12, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2025

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

Authorized official

Name
Dr. Nathan Todd Pruitt, PHDNPI 1083350854
Title
Psychologist and Owner
Phone
(518) 417-1905

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC1900X Primary

Addresses

Primary practice location

200 Delaware Ave
Delmar, NY 12054-1227

Mailing address

200 Delaware Ave
Delmar, NY 12054-1227
Phone (518) 417-1905

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": "1741737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741737600000",
    "number": "1184423030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 DELAWARE AVE",
            "city": "DELMAR",
            "state": "NY",
            "postal_code": "120541227",
            "telephone_number": "518-417-1905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 DELAWARE AVE",
            "city": "DELMAR",
            "state": "NY",
            "postal_code": "120541227",
            "telephone_number": "518-417-1905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRUITT PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-12",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A",
        "authorized_official_last_name": "PRUITT",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "TODD",
        "authorized_official_title_or_position": "PSYCHOLOGIST AND OWNER",
        "authorized_official_telephone_number": "518-417-1905",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delmar, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2025; 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.