NPIMap

Organization Active NPI

Biofeedback and Psychological Development, P.C.

  • Psychologist
  • Valley Stream, NY
National Provider Identifier
1306996509
Registry record updated Sep 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
BIOFEEDBACK AND PSYCHOLOGICAL DEVELOPMENT, P.C.
Practice address
5 Sunrise Plaza
Suite # 202
Valley Stream, NY 11580-6130
Phone
(516) 825-5005
Fax
(516) 825-5778
NPI assigned
Jan 11, 2007
Last updated
Sep 14, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2011

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

Authorized official

Name
Robert Leblang, PHD
Title
Director
Phone
(516) 825-5005

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X NY Primary

Addresses

Primary practice location

5 Sunrise Plaza
Suite # 202
Valley Stream, NY 11580-6130

Mailing address

5 Sunrise Plaza
Suite # 202
Valley Stream, NY 11580-6130
Phone (516) 825-5005

National Provider Directory

National Provider Directory

Locations

5 Sunrise Plz
Ste 202
Valley Stream, NY 11580
Phone (516) 822-9057

Practitioners & affiliated clinicians

Practitioners 10

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": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315958400000",
    "number": "1306996509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 SUNRISE PLAZA",
            "address_2": "SUITE # 202",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115806130",
            "telephone_number": "516-825-5005",
            "fax_number": "516-825-5778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 SUNRISE PLAZA",
            "address_2": "SUITE # 202",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115806130",
            "telephone_number": "516-825-5005",
            "fax_number": "516-825-5778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIOFEEDBACK AND PSYCHOLOGICAL DEVELOPMENT, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2011-09-14",
        "status": "A",
        "authorized_official_last_name": "LEBLANG",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "516-825-5005",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Stream, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2011; 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.