Organization Active NPI

Ny Center for Behavioral Health, Inc.

  • Clinical Psychologist
  • Great Neck, NY
National Provider Identifier
1396071825
Registry record updated Mar 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
10139 Issued in NY
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, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2018

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.