Self Reflection Psychological Services, PLLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

SELF REFLECTION PSYCHOLOGICAL SERVICES, PLLC

Practice address

210 E Main St
Middletown, NY 10940-4038

Phone

(347) 922-4574

NPI assigned

Feb 5, 2019

Last updated

Jul 12, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Taina Ortiz-Velez, PSY.D.

Title

Psychologist

Phone

(347) 922-4574

Specialties & licenses 1

Addresses

Other names 1

• Self Reflection Psychological Services Other name

Locations

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

{
    "created_epoch": "1549324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562889600000",
    "number": "1437614328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 WASHINGTON RD",
            "city": "MONROE",
            "state": "NY",
            "postal_code": "109505126",
            "telephone_number": "347-922-4574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 E MAIN ST",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109404038",
            "telephone_number": "347-922-4574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELF REFLECTION PSYCHOLOGICAL SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-05",
        "last_updated": "2019-07-12",
        "status": "A",
        "authorized_official_last_name": "ORTIZ-VELEZ",
        "authorized_official_first_name": "TAINA",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "347-922-4574",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Self Reflection Psychological Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Middletown, NY
• Providers in Middletown, NY by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2019; 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.