Dallet Psychological Services PC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

DALLET PSYCHOLOGICAL SERVICES PC

Practice address

821 Newburg Ave
Valley Stream, NY 11581-3107

Phone

(917) 657-0290

NPI assigned

Apr 18, 2023

Organization subpart

No

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

Authorized official

Name

Yuliya Vaynrub

Title

Manager

Phone

(917) 657-0290

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

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

• Grigory Orenbakh, PH.D.

  • Clinical Psychologist
  • Valley Stream, NY
  • NPI 1366533754
  Medicare reassignment NPD

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

{
    "created_epoch": "1681776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681776000000",
    "number": "1386331791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 NEWBURG AVE",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115813107",
            "telephone_number": "917-657-0290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 NEWBURG AVE",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115813107",
            "telephone_number": "917-657-0290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALLET PSYCHOLOGICAL SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-18",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-18",
        "status": "A",
        "authorized_official_last_name": "VAYNRUB",
        "authorized_official_first_name": "YULIYA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "917-657-0290"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gerard R D'Aversa, OD
• Suzanne Dalal, PHD
• Colleen Wilzena Daley, RN
• Nicole Daley, MS
• Terri A Daley, LPN
• Andrea Damour
• Daniel E. Levy M.D.,P.C.
• Daniel Novick MD PLLC
• Jasmine Theresa Darbouze, OTR/L
• Kelly Marina Darnell, PA-C

• Clinical Psychologist in Valley Stream, NY
• Providers in Valley Stream, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2023; 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.