Organization Active NPI

Daskalakis Psychological Services, PC

  • Clinical Psychologist
  • Oswego, NY
National Provider Identifier
1285023192
Registry record updated Jan 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
017258 Issued in NY
Legal business name
DASKALAKIS PSYCHOLOGICAL SERVICES, PC
Practice address
317 W 1St St
Suite 112
Oswego, NY 13126-3623
Phone
(315) 944-8043
NPI assigned
Jan 15, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2015

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

Authorized official

Name
Dr. Katherine M. Daskalakis, PHD
Title
Owner
Phone
(315) 944-8043

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 017258 NY Primary

Addresses

Primary practice location

317 W 1St St
Suite 112
Oswego, NY 13126-3623

Mailing address

317 W 1St St
Suite 112
Oswego, NY 13126-3623
Phone (315) 944-8043

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1421280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421280000000",
    "number": "1285023192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 W 1ST ST",
            "address_2": "SUITE 112",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131263623",
            "telephone_number": "315-944-8043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 W 1ST ST",
            "address_2": "SUITE 112",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131263623",
            "telephone_number": "315-944-8043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DASKALAKIS PSYCHOLOGICAL SERVICES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-15",
        "last_updated": "2015-01-15",
        "status": "A",
        "authorized_official_last_name": "DASKALAKIS",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-944-8043",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "017258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oswego, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2015; 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.