Organization Active NPI

Tristate Psychological Injury Services PC

  • Clinical Neuropsychologist
  • Brooklyn, NY
National Provider Identifier
1194318386
Registry record updated Feb 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
Legal business name
TRISTATE PSYCHOLOGICAL INJURY SERVICES PC
Practice address
8778 Bay Pkwy FL 2
Brooklyn, NY 11214-5653
Phone
(718) 889-7445
Fax
(718) 889-7458
NPI assigned
Feb 18, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2021

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

Authorized official

Name
Scott Lloyd, PHD
Title
PHD
Phone
(718) 889-7445

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical NeuropsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103G00000X Primary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X

Addresses

Primary practice location

8778 Bay Pkwy FL 2
Brooklyn, NY 11214-5653

Mailing address

8778 Bay Pkwy FL 2
Brooklyn, NY 11214-5653
Phone (718) 889-7445

National Provider Directory

National Provider Directory

Locations

8778 Bay Pkwy
Fl 2
Brooklyn, NY 11214
Phone (718) 484-9116

NPI Registry JSON

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

{
    "created_epoch": "1613606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613606400000",
    "number": "1194318386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8778 BAY PKWY FL 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112145653",
            "telephone_number": "718-889-7445",
            "fax_number": "718-889-7458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8778 BAY PKWY FL 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112145653",
            "telephone_number": "718-889-7445",
            "fax_number": "718-889-7458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRISTATE PSYCHOLOGICAL INJURY SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-18",
        "last_updated": "2021-02-18",
        "certification_date": "2021-02-18",
        "status": "A",
        "authorized_official_last_name": "LLOYD",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "PHD",
        "authorized_official_telephone_number": "718-889-7445",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Feb 18, 2021; 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.