Dr. Justine M. Koo, Psychologist P.C.

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

DR. JUSTINE M. KOO, PSYCHOLOGIST P.C.

Practice address

6 Garden PL
Bay Shore, NY 11706-7808

Phone

(347) 831-4781

NPI assigned

May 30, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Justine Marie Koo, PSYDNPI 1336781392

Title

Psychologist

Phone

(347) 831-4781

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, and the practitioner matching its NPPES authorized official.

• Justine Marie Koo, PSYD

  • Psychologist
  • Deer Park, NY
  • NPI 1336781392
  NPD Authorized official

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

{
    "created_epoch": "1685404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685404800000",
    "number": "1427741057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 GARDEN PL",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117067808",
            "telephone_number": "347-831-4781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 GARDEN PL",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117067808",
            "telephone_number": "347-831-4781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. JUSTINE M. KOO, PSYCHOLOGIST P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-30",
        "last_updated": "2023-05-30",
        "certification_date": "2023-05-30",
        "status": "A",
        "authorized_official_last_name": "KOO",
        "authorized_official_first_name": "JUSTINE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "347-831-4781",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Dove
• Pamela Downes-Covington
• Edward C Dowse
• Dr. Christina Vaglica Psychiatry, P.C.
• Dr. Christina Vaglica Psychiatry, P.C.
• Jasper Du
• Natalie Dubas Fried, R.N.
• Daniel Patrick Duggan, DDS
• Dulce M. Almanzar, M.D., PC
• Anita Regina Dunn, RN

• Psychologist in Bay Shore, NY
• Providers in Bay Shore, NY by specialty
• Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2023; 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.