Restart Psychological Services PC

Primary specialty

Adult Development & Aging PsychologistTaxonomy code 103TA0700X

Legal business name

RESTART PSYCHOLOGICAL SERVICES PC

Practice address

821 Newburg Ave
Valley Stream, NY 11581-3107

Phone

(917) 657-0290

NPI assigned

Feb 20, 2020

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

Office Manager

Phone

(917) 657-0290

Specialties & licenses 1

Addresses

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
  NPD

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

{
    "created_epoch": "1582156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582156800000",
    "number": "1396378055",
    "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"
        },
        {
            "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": "RESTART PSYCHOLOGICAL SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-20",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A",
        "authorized_official_last_name": "VAYNRUB",
        "authorized_official_first_name": "YULIYA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "917-657-0290"
    },
    "taxonomies": [
        {
            "code": "103TA0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Adult Development & Aging",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Arnold Renois, MS
• Natalie Rentas, LCSW
• Michelle A. Renzi, RPA-C
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• Adult Development & Aging Psychologist in Valley Stream, NY
• Providers in Valley Stream, NY by specialty
• Adult Development & Aging Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2020; 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.