Alliance Psychological Services of New York, PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

022436 Issued in NY

Legal business name

ALLIANCE PSYCHOLOGICAL SERVICES OF NEW YORK, PLLC

Practice address

6014 67TH Ave # 1
Ridgewood, NY 11385-4536

Phone

(718) 971-9731

Fax

(718) 425-9862

NPI assigned

Jan 10, 2018

Organization subpart

No

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

Authorized official

Name

William Somerville, PHDNPI 1891181368

Title

Owner

Phone

(718) 971-9731

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

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

• William Somerville, PHD

  • Clinical Psychologist
  • Ridgewood, NY
  • NPI 1891181368

  Clinical, NY

  Medicare reassignment NPD Authorized official
• Dawn Sanchez

  • Clinical Social Worker
  • New York, NY
  • NPI 1447804026

  NY

  Medicare reassignment NPD
• Juliet Spier Anderson

  • Social Worker
  • Ridgewood, NY
  • NPI 1558919274
  NPD (past)

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

{
    "created_epoch": "1515542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675036800000",
    "number": "1508374646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6014 67TH AVE # 1",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113854536",
            "telephone_number": "718-971-9731",
            "fax_number": "718-425-9862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6014 67TH AVE # 1",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113854536",
            "telephone_number": "718-971-9731",
            "fax_number": "718-425-9862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIANCE PSYCHOLOGICAL SERVICES OF NEW YORK, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-10",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-30",
        "status": "A",
        "authorized_official_last_name": "SOMERVILLE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-971-9731",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "022436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vivian Aiuto, DDS
• Ajs Ridgewood Chemist Inc.
• Emily Alcott
• Fatima Ali, PHARMD
• All in One DME Supplier Inc
• Donny Alonzo, PT
• Gloria Esther Alvarez
• Ambee Drug Corp
• Ambulnz Ny LLC
• Kalpesh S Amin, M.D.

• All providers in Ridgewood, NY
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.