Cortlandt Consultation for Psychological Services, PC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

006895 Issued in NY

Legal business name

CORTLANDT CONSULTATION FOR PSYCHOLOGICAL SERVICES, PC

Practice address

2117 Crompond Road
Ste 23
Cortlandt Manor, NY 10567-4316

Phone

(914) 727-0013

Fax

(914) 727-0013

NPI assigned

Sep 21, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Glenn I Bronley, PHDNPI 1174621148

Title

Director

Phone

(914) 737-0013

Specialties & licenses 1

Addresses

Other names 1

• Cortlandt Consultation For Psychological Services, PC Other name

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

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

• Glenn I Bronley, PHD

  • Clinical Psychologist
  • Cortlandt Manor, NY
  • NPI 1174621148
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350864000000",
    "number": "1386743144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2117 CROMPOND ROAD",
            "address_2": "STE 23",
            "city": "CORTLANDT MANOR",
            "state": "NY",
            "postal_code": "105674316",
            "telephone_number": "914-727-0013",
            "fax_number": "914-727-0013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2117 CROMPOND ROAD",
            "address_2": "STE 23",
            "city": "CORTLANDT MANOR",
            "state": "NY",
            "postal_code": "105674316",
            "telephone_number": "914-727-0013",
            "fax_number": "914-727-0013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORTLANDT CONSULTATION FOR PSYCHOLOGICAL SERVICES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2012-10-22",
        "status": "A",
        "authorized_official_last_name": "BRONLEY",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "914-737-0013",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "NY",
            "license": "006895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cortlandt Consultation For Psychological Services, PC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sonia Anita Cooke, LPN
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• Christine Corcoran, NP
• Vincenza Corcoran, LCSW
• Sonia Cordero-Narvaez
• Cortlandt Endoscopy Obs LLP
• Cortlandt Eyecare P.C.
• Cortlandt Healthcare, LLC
• Cortlandt Manor Dental PC
• Cortlandt Medical Endoscopy Obs PC

• Psychologist in Cortlandt Manor, NY
• Providers in Cortlandt Manor, NY by specialty
• Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2012; 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.