Organization Active NPI

Clinical Neuropsychology Services, PC

  • Clinical Neuropsychologist
  • Sleepy Hollow, NY
National Provider Identifier
1306905781
Registry record updated May 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
Legal business name
CLINICAL NEUROPSYCHOLOGY SERVICES, PC
Practice address
701 N Broadway
Phelps Memorial Hospital Center
Sleepy Hollow, NY 10591-1020
Phone
(914) 238-1830
Fax
(914) 239-3557
NPI assigned
Dec 8, 2006
Last updated
May 28, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2009

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

Authorized official

Name
Dr. Suzan Uysal, PH.D.NPI 1508925975
Title
President
Phone
(914) 238-1830

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X NU Primary

Addresses

Primary practice location

701 N Broadway
Phelps Memorial Hospital Center
Sleepy Hollow, NY 10591-1020

Mailing address

49 Valley View Rd
Chappaqua, NY 10514-2523
Phone (914) 238-1830

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050122000174 NY Part B Supplier - Clinic/Group Practice 6507816006 Receives reassigned benefits from 1 practitioner
Practice locations: Chappaqua, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243468800000",
    "number": "1306905781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 VALLEY VIEW RD",
            "city": "CHAPPAQUA",
            "state": "NY",
            "postal_code": "105142523",
            "telephone_number": "914-238-1830",
            "fax_number": "914-239-3557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 N BROADWAY",
            "address_2": "PHELPS MEMORIAL HOSPITAL CENTER",
            "city": "SLEEPY HOLLOW",
            "state": "NY",
            "postal_code": "105911020",
            "telephone_number": "914-238-1830",
            "fax_number": "914-239-3557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICAL NEUROPSYCHOLOGY SERVICES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2009-05-28",
        "status": "A",
        "authorized_official_last_name": "UYSAL",
        "authorized_official_first_name": "SUZAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "914-238-1830",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sleepy Hollow, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.