Organization Active NPI

Cornerstone Developmental Psychology

  • Psychologist
  • Hauppauge, NY
National Provider Identifier
1336673318
Registry record updated Apr 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
CORNERSTONE DEVELOPMENTAL PSYCHOLOGY
Practice address
750 Vets Hwy
Suite 202
Hauppauge, NY 11788-2943
Phone
(631) 925-1003
NPI assigned
Apr 17, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2017

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

Authorized official

Name
Mark Closson, PH.D.NPI 1841577004
Title
Psychologist
Phone
(631) 925-1003

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X Primary
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X

Addresses

Primary practice location

750 Vets Hwy
Suite 202
Hauppauge, NY 11788-2943

Mailing address

750 Vets. Mem. Hwy.
Suite 202
Hauppauge, NY 11788-2943
Phone (631) 925-1003

National Provider Directory

National Provider Directory

Locations

750 Vets Hwy
Ste 202
Hauppauge, NY 11788
Phone (631) 774-8653

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1492387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492387200000",
    "number": "1336673318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 VETS. MEM. HWY.",
            "address_2": "SUITE 202",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117882943",
            "telephone_number": "631-925-1003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 VETS HWY",
            "address_2": "SUITE 202",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117882943",
            "telephone_number": "631-925-1003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE DEVELOPMENTAL PSYCHOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-17",
        "last_updated": "2017-04-17",
        "status": "A",
        "authorized_official_last_name": "CLOSSON",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "631-925-1003",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hauppauge, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2017; 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.