Active NPI
Mountainview Counseling and Psychological Services, PC
- Psychologist
- Holbrook, NY
National Provider Identifier
1356475107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Legal business name
- MOUNTAINVIEW COUNSELING AND PSYCHOLOGICAL SERVICES, PC
- Practice address
- 4250 Veterans Memorial Hwy
Suite 215 East
Holbrook, NY 11741-4000 - Phone
- (631) 981-5762
- Fax
- (631) 981-5762
- NPI assigned
- Mar 15, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kim Hescheles
- Title
- Psychologist
- Phone
- (631) 981-5762
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | Primary |
Addresses
Primary practice location
4250 Veterans Memorial Hwy
Suite 215 East
Holbrook, NY 11741-4000
Mailing address
4250 Veterans Memorial Hwy
Suite 215 East
Holbrook, NY 11741-4000
Phone (631) 981-5762
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01625167 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
4250 Veterans Memorial Hwy
Ste 215E
Holbrook, NY 11741
Phone (516) 594-0193
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- Oakdale, NY
- NPI 1003940818
-
- Psychologist
- Holbrook, NY
- NPI 1184758914
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173916800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1190937600000",
"number": "1356475107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4250 VETERANS MEMORIAL HWY",
"address_2": "SUITE 215 EAST",
"city": "HOLBROOK",
"state": "NY",
"postal_code": "117414000",
"telephone_number": "631-981-5762",
"fax_number": "631-981-5762"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4250 VETERANS MEMORIAL HWY",
"address_2": "SUITE 215 EAST",
"city": "HOLBROOK",
"state": "NY",
"postal_code": "117414000",
"telephone_number": "631-981-5762",
"fax_number": "631-981-5762"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOUNTAINVIEW COUNSELING AND PSYCHOLOGICAL SERVICES, PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-15",
"last_updated": "2007-09-28",
"status": "A",
"authorized_official_last_name": "HESCHELES",
"authorized_official_first_name": "KIM",
"authorized_official_title_or_position": "PSYCHOLOGIST",
"authorized_official_telephone_number": "631-981-5762",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01625167",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Holbrook, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2007; 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.