Sr Psychological Services P.C.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

016729 Issued in NY

Legal business name

SR PSYCHOLOGICAL SERVICES P.C.

Practice address

303 5TH Ave
Ste 1213
New York, NY 10016-6693

Phone

(646) 359-6685

Fax

(646) 922-7263

NPI assigned

Sep 8, 2014

Organization subpart

No

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

Authorized official

Name

Shatiece Riley, PHD

Title

Owner

Phone

(646) 359-6685

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1410134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410134400000",
    "number": "1265833404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 5TH AVE",
            "address_2": "STE 1213",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100166693",
            "telephone_number": "646-359-6685",
            "fax_number": "646-922-7263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 5TH AVE",
            "address_2": "STE 1213",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100166693",
            "telephone_number": "646-359-6685",
            "fax_number": "646-922-7263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SR PSYCHOLOGICAL SERVICES P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-08",
        "last_updated": "2014-09-08",
        "status": "A",
        "authorized_official_last_name": "RILEY",
        "authorized_official_first_name": "SHATIECE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-359-6685",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "NY",
            "license": "016729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in New York, NY
• Providers in New York, NY by specialty
• Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.