Organization Active NPI

Fishkill Consultation Group

  • Psychologist
  • Fishkill, NY
National Provider Identifier
1366501207
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
010262 1 Issued in NY
Legal business name
FISHKILL CONSULTATION GROUP
Practice address
1064 Main Street
Fishkill, NY 12524
Phone
(845) 896-6751
Fax
(845) 227-2524
NPI assigned
Dec 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Paula Nancy Stein, PHDNPI 1093991895
Title
Psychologist
Phone
(845) 896-6751

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 010262 1 NY Primary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X 011544 1 NY

Addresses

Primary practice location

1064 Main Street
Fishkill, NY 12524

Mailing address

1064 Main Street
Fishkill, NY 12524
Phone (845) 896-6751

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121128000000 NY Part B Supplier - Clinic/Group Practice 4981855871 Receives reassigned benefits from 3 practitioners
Practice locations: Fishkill, NY

National Provider Directory

National Provider Directory

Locations

2 Summit Ct
Ste 205
Fishkill, NY 12524
Phone (845) 896-6751

1064 Main St
Fishkill, NY 12524
Phone (845) 896-6751

Practitioners & affiliated clinicians

Practitioners 6

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": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366501207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1064 MAIN STREET",
            "city": "FISHKILL",
            "state": "NY",
            "postal_code": "12524",
            "telephone_number": "845-896-6751",
            "fax_number": "845-227-2524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1064 MAIN STREET",
            "city": "FISHKILL",
            "state": "NY",
            "postal_code": "12524",
            "telephone_number": "845-896-6751",
            "fax_number": "845-227-2524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FISHKILL CONSULTATION GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STEIN",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "NANCY",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "845-896-6751",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "NY",
            "license": "010262 1",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "NY",
            "license": "011544 1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fishkill, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.