Active NPI
Ny Center for Behavioral Health, Inc.
- Clinical Psychologist
- Great Neck, NY
National Provider Identifier
1396071825
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 10139
- Legal business name
- NY CENTER FOR BEHAVIORAL HEALTH, INC.
- Practice address
- 287 Northern Blvd
Suite 100
Great Neck, NY 11021-4717 - Phone
- (516) 487-4202
- Fax
- (201) 692-0234
- NPI assigned
- Oct 17, 2009
- Reactivated
- Mar 27, 2018
- Last updated
- Mar 27, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Martin Kluger, PH.D.
- Title
- Psychologist
- Phone
- (516) 487-4202
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 10139 | NY | Primary |
Addresses
Primary practice location
287 Northern Blvd
Suite 100
Great Neck, NY 11021-4717
Mailing address
287 Northern Blvd
Suite 100
Great Neck, NY 11021-4717
Phone (516) 487-4202
National Provider Directory
National Provider DirectoryLocations
287 Northern Blvd
Ste 100
Great Neck, NY 11021
Phone (516) 472-7127
287 Northern Blvd
Ste 204
Great Neck, NY 11021
Phone (516) 487-4202
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Social Worker
- Great Neck, NY
- NPI 1427553411
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255737600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1522108800000",
"number": "1396071825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "287 NORTHERN BLVD",
"address_2": "SUITE 100",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "110214717",
"telephone_number": "516-487-4202",
"fax_number": "201-692-0234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "287 NORTHERN BLVD",
"address_2": "SUITE 100",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "110214717",
"telephone_number": "516-487-4202",
"fax_number": "201-692-0234"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NY CENTER FOR BEHAVIORAL HEALTH, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2009-10-17",
"last_updated": "2018-03-27",
"deactivation_date": "2018-03-20",
"reactivation_date": "2018-03-27",
"status": "A",
"authorized_official_last_name": "KLUGER",
"authorized_official_first_name": "MARTIN",
"authorized_official_title_or_position": "PSYCHOLOGIST",
"authorized_official_telephone_number": "516-487-4202",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "10139",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Great Neck, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.