NPIMap

Organization Active NPI

Psychologist on Wheels PC

Doing business as Child and Family Psychology

  • Psychologist
  • Franklin Square, NY
National Provider Identifier
1447586318
Registry record updated Oct 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
016469 Issued in NY
Legal business name
PSYCHOLOGIST ON WHEELS PC
Doing business as
Child and Family Psychology
Practice address
393 Franklin Ave
101
Franklin Square, NY 11010-1222
Phone
(516) 750-4841
Fax
(516) 394-4767
NPI assigned
Oct 27, 2009
Last updated
Oct 27, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2009

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

Authorized official

Name
Dr. Renee Clauselle, PSY.D.
Title
President/Director
Phone
(516) 750-4841

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 016469 NY Primary

Addresses

Primary practice location

393 Franklin Ave
101
Franklin Square, NY 11010-1222

Mailing address

393 Franklin Ave
101
Franklin Square, NY 11010-1222
Phone (516) 750-4841

Other names 1

  • Child and Family Psychology Doing business as

National Provider Directory

National Provider Directory

Locations

393 Franklin Ave
Ste 101
Franklin Square, NY 11010
Phone (516) 509-9586

Practitioners & affiliated clinicians

Practitioners 8

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": "1256601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256601600000",
    "number": "1447586318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "393 FRANKLIN AVE",
            "address_2": "101",
            "city": "FRANKLIN SQUARE",
            "state": "NY",
            "postal_code": "110101222",
            "telephone_number": "516-750-4841",
            "fax_number": "516-394-4767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "393 FRANKLIN AVE",
            "address_2": "101",
            "city": "FRANKLIN SQUARE",
            "state": "NY",
            "postal_code": "110101222",
            "telephone_number": "516-750-4841",
            "fax_number": "516-394-4767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOLOGIST ON WHEELS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-27",
        "last_updated": "2009-10-27",
        "status": "A",
        "authorized_official_last_name": "CLAUSELLE",
        "authorized_official_first_name": "RENEE",
        "authorized_official_title_or_position": "PRESIDENT/DIRECTOR",
        "authorized_official_telephone_number": "516-750-4841",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "016469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Child and Family Psychology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Franklin Square, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2009; 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.