Organization Active NPI

Bedford Psychological Services P.C.

  • Early Intervention Provider Agency
  • Brewster, NY
National Provider Identifier
1669133757
Registry record updated Jan 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
BEDFORD PSYCHOLOGICAL SERVICES P.C.
Practice address
11 N Hollow Rd
Brewster, NY 10509-5120
Phone
(914) 419-2678
Fax
(845) 207-3647
NPI assigned
Jan 1, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 1, 2022

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

Authorized official

Name
Dr. Irwin Leibowitz, PH.D.NPI 1659412716
Title
President
Phone
(914) 419-2678

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
Early Intervention Provider Agency 252Y00000X Primary

Addresses

Primary practice location

11 N Hollow Rd
Brewster, NY 10509-5120

Mailing address

11 N Hollow Rd
Brewster, NY 10509-5120
Phone (914) 419-2678

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL psycheval@hushmail.com Direct Challenge early intervention center
Other URL psycheval@hushmail.com challenge early intervention center

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1640995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640995200000",
    "number": "1669133757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 N HOLLOW RD",
            "city": "BREWSTER",
            "state": "NY",
            "postal_code": "105095120",
            "telephone_number": "914-419-2678",
            "fax_number": "845-207-3647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 N HOLLOW RD",
            "city": "BREWSTER",
            "state": "NY",
            "postal_code": "105095120",
            "telephone_number": "914-419-2678",
            "fax_number": "845-207-3647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEDFORD PSYCHOLOGICAL SERVICES P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-01",
        "last_updated": "2022-01-01",
        "certification_date": "2022-01-01",
        "status": "A",
        "authorized_official_last_name": "LEIBOWITZ",
        "authorized_official_first_name": "IRWIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "914-419-2678",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "psycheval@hushmail.com",
            "affiliation": "Y",
            "affiliationName": "Challenge early intervention center",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "11 N Hollow Rd",
            "city": "Brewster",
            "state": "NY",
            "country_code": "US",
            "postal_code": "105095120",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "psycheval@hushmail.com",
            "affiliation": "Y",
            "affiliationName": "challenge early intervention center",
            "address_1": "11 N Hollow Rd",
            "city": "Brewster",
            "state": "NY",
            "country_code": "US",
            "postal_code": "105095120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brewster, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2022; 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.