Tineo Psychological Services PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

TINEO PSYCHOLOGICAL SERVICES PLLC

Practice address

17 Cedar Rd
Wurtsboro, NY 12790-6122

Phone

(845) 303-2218

NPI assigned

May 20, 2026

Last updated

May 20, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Petty Tineo, PHDNPI 1386225712

Title

Psychologist

Phone

(551) 795-2266

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

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.

• Petty Tineo

  • Clinical Psychologist
  • Montclair, NJ
  • NPI 1386225712

  NY

  Medicare reassignment Authorized official

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

{
    "created_epoch": "1779235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779235200000",
    "number": "1326978420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 CEDAR RD",
            "city": "WURTSBORO",
            "state": "NY",
            "postal_code": "127906122",
            "telephone_number": "845-303-2218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 CEDAR RD",
            "city": "WURTSBORO",
            "state": "NY",
            "postal_code": "127906122",
            "telephone_number": "845-303-2218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TINEO PSYCHOLOGICAL SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-20",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A",
        "authorized_official_last_name": "TINEO",
        "authorized_official_first_name": "PETTY",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "551-795-2266",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Puig, ED.D
• Michael Regan, LCSW
• Tara Schoonmaker
• Dhirajlal M Shah, MD
• Chyrise Taylor, DNP-FNP
• Laura Marie White-Henderson, LCSW
• Wings of Hope Mental Health Counseling PLLC
• Wurtsboro Acupuncture, Chiropractic and Physical Therapy PLLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2026; 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.