Organization Active NPI

Louis Psychological Services

  • Adult Mental Health Clinic/Center
  • Campbell Hall, NY
National Provider Identifier
1205326394
Registry record updated Oct 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
019201 Issued in NY
Legal business name
LOUIS PSYCHOLOGICAL SERVICES
Practice address
3136 Nys Route 207 Ste 203
Campbell Hall, NY 10916-2234
Phone
(845) 360-2547
NPI assigned
May 14, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2022

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

Authorized official

Name
Melitza Sandoz
Title
Admin
Phone
(845) 360-2547

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X 019201 NY Primary

Addresses

Primary practice location

3136 Nys Route 207 Ste 203
Campbell Hall, NY 10916-2234

Mailing address

3136 Nys Route 207 Ste 203
Campbell Hall, NY 10916-2234
Phone (845) 360-2547

Other practice location 1

1578 Williamsbridge Rd Apt 3A
Bronx, NY 10461-6268
Phone (855) 771-0404

Other practice location 2

18 Old Post Rd S
Croton ON Hudson, NY 10520-2316
Phone (855) 771-0404

Other identifiers 1

IdentifierTypeStateIssuer
03498015MedicaidNY

Other names 1

  • EMBRACE THERAPY Doing business as

National Provider Directory

National Provider Directory

Locations

3136 Nys Route 207
Ste 203
Campbell Hall, NY 10916
Phone (845) 360-2547

18 Old Post Rd S
Croton on Hudson, NY 10520
Phone (855) 771-0404

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1526256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666224000000",
    "number": "1205326394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3136 NYS ROUTE 207 STE 203",
            "city": "CAMPBELL HALL",
            "state": "NY",
            "postal_code": "109162234",
            "telephone_number": "845-360-2547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3136 NYS ROUTE 207 STE 203",
            "city": "CAMPBELL HALL",
            "state": "NY",
            "postal_code": "109162234",
            "telephone_number": "845-360-2547"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1578 Williamsbridge Rd Apt 3A",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104616268",
            "country_code": "US",
            "telephone_number": "855-771-0404",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18 Old Post Rd S",
            "address_purpose": "LOCATION",
            "city": "Croton ON Hudson",
            "state": "NY",
            "postal_code": "105202316",
            "country_code": "US",
            "telephone_number": "855-771-0404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LOUIS PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-14",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-20",
        "status": "A",
        "authorized_official_last_name": "SANDOZ",
        "authorized_official_first_name": "MELITZA",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "845-360-2547"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NY",
            "license": "019201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03498015",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EMBRACE THERAPY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Campbell Hall, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2022; 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.