NPIMap

Organization Active NPI

Psychological Evaluations & Consulting

  • Clinical Psychologist
  • Bedford Hills, NY
National Provider Identifier
1467764480
Registry record updated Jul 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
008548-0 Issued in NY
Legal business name
PSYCHOLOGICAL EVALUATIONS & CONSULTING
Practice address
66 Main St
Bedford Hills, NY 10507-1800
Phone
(914) 244-0755
Fax
(914) 244-0754
NPI assigned
Jul 7, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2010

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

Authorized official

Name
Richard Peter Debenedetto, PH.D.NPI 1164453676
Title
Owner
Phone
(914) 244-0755

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 008548-0 NY Primary

Addresses

Primary practice location

66 Main St
Bedford Hills, NY 10507-1800

Mailing address

66 Main St
Bedford Hills, NY 10507-1800
Phone (914) 244-0755

National Provider Directory

National Provider Directory
Tax ID family
Psychological Evaluations and Consulting LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1278460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278460800000",
    "number": "1467764480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 MAIN ST",
            "city": "BEDFORD HILLS",
            "state": "NY",
            "postal_code": "105071800",
            "telephone_number": "914-244-0755",
            "fax_number": "914-244-0754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 MAIN ST",
            "city": "BEDFORD HILLS",
            "state": "NY",
            "postal_code": "105071800",
            "telephone_number": "914-244-0755",
            "fax_number": "914-244-0754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOLOGICAL EVALUATIONS & CONSULTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-07",
        "last_updated": "2010-07-07",
        "status": "A",
        "authorized_official_last_name": "DEBENEDETTO",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "PETER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-244-0755",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "008548-0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2010; 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.