Organization Active NPI

Hillside Psychology, P.L.L.C.

  • Clinical Psychologist
  • Mount Kisco, NY
National Provider Identifier
1669970018
Registry record updated Jan 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
021927-1 Issued in NY
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

Updated by the provider on Jan 30, 2018

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)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20180404000187 NY Part B Supplier - Clinic/Group Practice 5294098281 Receives reassigned benefits from 1 practitioner
Practice locations: Mount Kisco, NY

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.