NPIMap

Organization Active NPI

Interactive Discovery Consulting and Psychological SVCS., P.C.

  • Psychologist
  • Brooklyn, NY
National Provider Identifier
1477798346
Registry record updated Jul 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
016790 Issued in NY
Legal business name
INTERACTIVE DISCOVERY CONSULTING AND PSYCHOLOGICAL SVCS., P.C.
Practice address
163 Prospect Park W
Brooklyn, NY 11215-5271
Phone
(347) 335-0165
NPI assigned
Dec 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2019

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

Authorized official

Name
Tatyana Salvatore
Title
Billing Supervisor
Phone
(908) 393-5630

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 016790 NY Primary

Addresses

Primary practice location

163 Prospect Park W
Brooklyn, NY 11215-5271

Mailing address

65 Oriental Blvd Apt 14C
Brooklyn, NY 11235-4920
Phone (718) 306-7755

Other practice location 1

558 2nd St Ste 1
Brooklyn, NY 11215-2608
Phone (908) 393-5630

Other names 2

  • Interactive Discovery Other name
  • Lotus Consulting Psychological services, P.C. Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

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": "1228694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562112000000",
    "number": "1477798346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 ORIENTAL BLVD APT 14C",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112354920",
            "telephone_number": "718-306-7755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 PROSPECT PARK W",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112155271",
            "telephone_number": "347-335-0165"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "558 2nd St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112152608",
            "country_code": "US",
            "telephone_number": "908-393-5630",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INTERACTIVE DISCOVERY CONSULTING AND PSYCHOLOGICAL SVCS., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-08",
        "last_updated": "2019-07-03",
        "status": "A",
        "authorized_official_last_name": "SALVATORE",
        "authorized_official_first_name": "TATYANA",
        "authorized_official_title_or_position": "BILLING  SUPERVISOR",
        "authorized_official_telephone_number": "908-393-5630"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "NY",
            "license": "016790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Interactive Discovery",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Interactive Discovery",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Lotus Consulting Psychological services, P.C.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 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.