NPIMap

Organization Active NPI

Adelphi University

  • Psychoanalysis Psychologist
  • Garden City, NY
National Provider Identifier
1588012702
Registry record updated May 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychoanalysis PsychologistTaxonomy code 103TP0814X
Legal business name
ADELPHI UNIVERSITY
Practice address
158 Cambridge Ave
325
Garden City, NY 11530-4235
Phone
(516) 877-4841
NPI assigned
May 27, 2016
Last updated
May 27, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2016

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

Authorized official

Name
Jack Herskovits, PSY.D.
Title
Director
Phone
(516) 877-4841

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Psychoanalysis Psychologist 103TP0814X NU Primary
Clinical Social Worker 1041C0700X NU

Addresses

Primary practice location

158 Cambridge Ave
325
Garden City, NY 11530-4235

Mailing address

158 Cambridge Ave
325
Garden City, NY 11530-4235
Phone (516) 877-4841

Other names 1

  • Postgraduate Psychotherapy Center Other name

National Provider Directory

National Provider Directory
Tax ID family
Adelphi University3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1464307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464307200000",
    "number": "1588012702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 CAMBRIDGE AVE",
            "address_2": "325",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115304235",
            "telephone_number": "516-877-4841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 CAMBRIDGE AVE",
            "address_2": "325",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115304235",
            "telephone_number": "516-877-4841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADELPHI UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-27",
        "last_updated": "2016-05-27",
        "status": "A",
        "authorized_official_last_name": "HERSKOVITS",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "516-877-4841",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TP0814X",
            "taxonomy_group": "",
            "desc": "Psychologist, Psychoanalysis",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Postgraduate Psychotherapy Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Garden City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2016; 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.