Organization Active NPI

Hope Springs Inc

  • Psychologist
  • East Patchogue, NY
National Provider Identifier
1629120779
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
RO536831 Issued in NY
Legal business name
HOPE SPRINGS INC
Practice address
98 Camille Lane
East Patchogue, NY 11772-4624
Phone
(631) 447-2366
Fax
(631) 447-2366
NPI assigned
Jan 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Debra Mary Dougherty, LCSW R
Title
Licensed Social Worker
Phone
(631) 447-2366

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X RO536831 NY Primary

Addresses

Primary practice location

98 Camille Lane
East Patchogue, NY 11772-4624

Mailing address

98 Camille Lane
East Patchogue, NY 11772-4624
Phone (631) 447-2366

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629120779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 CAMILLE LANE",
            "city": "EAST PATCHOGUE",
            "state": "NY",
            "postal_code": "117724624",
            "telephone_number": "631-447-2366",
            "fax_number": "631-447-2366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 CAMILLE LANE",
            "city": "EAST PATCHOGUE",
            "state": "NY",
            "postal_code": "117724624",
            "telephone_number": "631-447-2366",
            "fax_number": "631-447-2366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPE SPRINGS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DOUGHERTY",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "MARY",
        "authorized_official_title_or_position": "LICENSED SOCIAL WORKER",
        "authorized_official_telephone_number": "631-447-2366",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW R"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "NY",
            "license": "RO536831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Patchogue, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.