Active NPI
Hillside Psychology, P.L.L.C.
- Clinical Psychologist
- Mount Kisco, NY
National Provider Identifier
1669970018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 021927-1
- Legal business name
- HILLSIDE PSYCHOLOGY, P.L.L.C.
- Practice address
- 40 W Main St Ste 104
Mount Kisco, NY 10549-1919 - Phone
- (914) 401-0215
- NPI assigned
- Jan 30, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Barbara Meehan, PH.D.
- Title
- Owner/Licensed Psychologist
- Phone
- (914) 401-0215
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 021927-1 | NY | Primary |
Addresses
Primary practice location
40 W Main St Ste 104
Mount Kisco, NY 10549-1919
Mailing address
PO Box 72
Somers, NY 10589-0072
Phone (914) 401-0215
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
40 W Main St
Ste 104
Mount Kisco, NY 10549
Phone (718) 854-8370
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": "1517270400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1517270400000",
"number": "1669970018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 72",
"city": "SOMERS",
"state": "NY",
"postal_code": "105890072",
"telephone_number": "914-401-0215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 W MAIN ST STE 104",
"city": "MOUNT KISCO",
"state": "NY",
"postal_code": "105491919",
"telephone_number": "914-401-0215"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HILLSIDE PSYCHOLOGY, P.L.L.C.",
"organizational_subpart": "NO",
"enumeration_date": "2018-01-30",
"last_updated": "2018-01-30",
"status": "A",
"authorized_official_last_name": "MEEHAN",
"authorized_official_first_name": "BARBARA",
"authorized_official_title_or_position": "OWNER/LICENSED PSYCHOLOGIST",
"authorized_official_telephone_number": "914-401-0215",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "021927-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mount Kisco, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2018; 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.