NPIMap

Organization Active NPI

Sr Psychological Services PC

  • Psychologist
  • New York, NY
National Provider Identifier
1265833404
Registry record updated Oct 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
016729 Issued in NY
Legal business name
SR PSYCHOLOGICAL SERVICES PC
Practice address
303 5TH Ave
Ste 502
New York, NY 10016-6644
Phone
(917) 705-6155
Fax
(212) 252-8808
NPI assigned
Sep 8, 2014
Last updated
Oct 26, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2026

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

Authorized official

Name
Sam Khan
Title
Manager
Phone
(512) 355-5735

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 016729 NY Primary

Addresses

Primary practice location

303 5TH Ave
Ste 502
New York, NY 10016-6644

Mailing address

303 5TH Ave
Ste 502
New York, NY 10016-6644
Phone (917) 705-6155

National Provider Directory

National Provider Directory

Locations

303 5th Ave
Rm 1213
New York, NY 10016
Phone (917) 705-6155

303 5th Ave
Rm 502
New York, NY 10016
Phone (212) 929-5333

Practitioners & affiliated clinicians

Practitioners 7

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": "1410134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792972800000",
    "number": "1265833404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 5TH AVE",
            "address_2": "STE 502",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100166644",
            "telephone_number": "917-705-6155",
            "fax_number": "212-252-8808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 5TH AVE",
            "address_2": "STE 502",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100166644",
            "telephone_number": "917-705-6155",
            "fax_number": "212-252-8808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SR PSYCHOLOGICAL SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-08",
        "last_updated": "2026-10-26",
        "certification_date": "2026-10-26",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "SAM",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "512-355-5735"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "NY",
            "license": "016729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2026; 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.