Mid Island Psychology Associates, PLLC

Primary specialty

Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X

Legal business name

MID ISLAND PSYCHOLOGY ASSOCIATES, PLLC

Practice address

500 N Broadway
Jericho, NY 11753-2127

Phone

(516) 578-6484

NPI assigned

Jul 24, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Loren Packer-Hopke, PSYD

Title

Partner

Phone

(516) 359-0853

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1500854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1500854400000",
    "number": "1356864003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 N BROADWAY",
            "city": "JERICHO",
            "state": "NY",
            "postal_code": "117532127",
            "telephone_number": "516-578-6484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N BROADWAY",
            "city": "JERICHO",
            "state": "NY",
            "postal_code": "117532127",
            "telephone_number": "516-578-6484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID ISLAND PSYCHOLOGY ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-24",
        "last_updated": "2017-07-24",
        "status": "A",
        "authorized_official_last_name": "PACKER-HOPKE",
        "authorized_official_first_name": "LOREN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "516-359-0853",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica M Melamedoff, M.D.
• Men'S Medical New York, P.C.
• Gary S Meredith, M.D.
• Joanne Messina
• Michelle Yao MD PC
• Mid-Island Physical Medicine and Rehabilitation, P.C.
• Robert A Miller, D.O.
• Mint Dental PC
• Kathleen Molinski
• Moral Medical Care PC

• Cognitive & Behavioral Psychologist in Jericho, NY
• Providers in Jericho, NY by specialty
• Cognitive & Behavioral Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.