Active NPI
Pamela Sue Counts, PSY.D.
- Clinical Psychologist
- Bronx, NY
National Provider Identifier
1205277985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 022649
- Practice address
- 1225 Morris Park Ave
Bronx, NY 10461-1929 - Phone
- (718) 839-7045
- Fax
- (718) 904-1162
- NPI assigned
- Jul 10, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 022649 | NY | Primary |
Addresses
Primary practice location
1225 Morris Park Ave
Bronx, NY 10461-1929
Mailing address
1225 Morris Park Ave
Bronx, NY 10461-1929
Phone (718) 839-7045
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1373414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604880000000",
"number": "1205277985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1225 MORRIS PARK AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104611929",
"telephone_number": "718-839-7045",
"fax_number": "718-904-1162"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1225 MORRIS PARK AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104611929",
"telephone_number": "718-839-7045",
"fax_number": "718-904-1162"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COUNTS",
"first_name": "PAMELA SUE",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-10",
"last_updated": "2020-11-09",
"certification_date": "2020-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "022649",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
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- Merline Cousely, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.