NPIMap

Organization Active NPI

On Course Psychological Counseling P.C.

  • Psychologist
  • Rockville Centre, NY
National Provider Identifier
1356788749
Registry record updated Jul 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
0176671 Issued in NY
Legal business name
ON COURSE PSYCHOLOGICAL COUNSELING P.C.
Practice address
165 N Village Ave Ste 200
Rockville Centre, NY 11570-3701
Phone
(516) 255-4100
Fax
(877) 728-0102
NPI assigned
May 27, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2022

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

Authorized official

Name
Dr. Nicole Vanessa Daisy-Etienne, PHDNPI 1134376874
Title
Psychologist
Phone
(516) 255-4100

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X 0176671 NY Primary

Addresses

Primary practice location

165 N Village Ave Ste 200
Rockville Centre, NY 11570-3701

Mailing address

165 N Village Ave Ste 200
Rockville Centre, NY 11570-3701
Phone (516) 255-4100

National Provider Directory

National Provider Directory

Locations

165 N Village Ave
Ste 200
Rockville Centre, NY 11570
Phone (516) 255-4100

Practitioners & affiliated clinicians

Practitioners 4

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": "1369612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658793600000",
    "number": "1356788749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 N VILLAGE AVE STE 200",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115703701",
            "telephone_number": "516-255-4100",
            "fax_number": "877-728-0102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 N VILLAGE AVE STE 200",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115703701",
            "telephone_number": "516-255-4100",
            "fax_number": "877-728-0102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ON COURSE PSYCHOLOGICAL COUNSELING P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-27",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-26",
        "status": "A",
        "authorized_official_last_name": "DAISY-ETIENNE",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "VANESSA",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "516-255-4100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "NY",
            "license": "0176671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville Centre, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2022; 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.