Advanced Psychological Care PC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

016309 Issued in NY

Legal business name

ADVANCED PSYCHOLOGICAL CARE PC

Practice address

62 Whitman Dr
Brooklyn, NY 11234-6703

Phone

(718) 209-6561

NPI assigned

May 16, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Bella Dorman, PSY.D.NPI 1326043498

Title

President

Phone

(917) 704-8148

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

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

• Bella Dorman, PSY.D

  • Psychologist
  • Brooklyn, NY
  • NPI 1326043498
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1337126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340323200000",
    "number": "1346500980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 WHITMAN DR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112346703",
            "telephone_number": "718-209-6561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 WHITMAN DR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112346703",
            "telephone_number": "718-209-6561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PSYCHOLOGICAL CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-16",
        "last_updated": "2012-06-22",
        "status": "A",
        "authorized_official_last_name": "DORMAN",
        "authorized_official_first_name": "BELLA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-704-8148",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "NY",
            "license": "016309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2012; 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.