Organization Active NPI

Peace of Mind Psychological Services PLLC

  • Cognitive & Behavioral Psychologist
  • Bay Shore, NY
National Provider Identifier
1245642727
Registry record updated Jun 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X
License
019572 Issued in NY
Legal business name
PEACE OF MIND PSYCHOLOGICAL SERVICES PLLC
Practice address
5 W Lakeland St
Bay Shore, NY 11706-2621
Phone
(631) 327-7081
NPI assigned
Jun 2, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2014

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

Authorized official

Name
Dr. Amy Gawrych, PSY.D.
Title
Psychologist
Phone
(631) 327-7081

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cognitive & Behavioral PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TB0200X 019572 NY Primary

Addresses

Primary practice location

5 W Lakeland St
Bay Shore, NY 11706-2621

Mailing address

5 W Lakeland St
Bay Shore, NY 11706-2621
Phone (631) 327-7081

National Provider Directory

National Provider Directory

Locations

291 Sunrise Hwy
Lindenhurst, NY 11757
Phone (631) 884-1188

20 W Park Ave
Long Beach, NY 11561
Phone (516) 792-5850

NPI Registry JSON

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

{
    "created_epoch": "1401667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401667200000",
    "number": "1245642727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 W LAKELAND ST",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117062621",
            "telephone_number": "631-327-7081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 W LAKELAND ST",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117062621",
            "telephone_number": "631-327-7081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACE OF MIND PSYCHOLOGICAL SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-02",
        "last_updated": "2014-06-02",
        "status": "A",
        "authorized_official_last_name": "GAWRYCH",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "631-327-7081",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "NY",
            "license": "019572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay Shore, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2014; 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.