NPIMap

Organization Active NPI

The Coping Counselor- Balance Psychology Services P C

  • Clinical Psychologist
  • Hicksville, NY
National Provider Identifier
1689040164
Registry record updated Mar 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6069 Issued in NY
Legal business name
THE COPING COUNSELOR- BALANCE PSYCHOLOGY SERVICES P C
Practice address
12 W Cherry St
Hicksville, NY 11801-3802
Phone
(516) 822-3131
NPI assigned
Aug 19, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2026

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

Authorized official

Name
Dr. Robert Harlan Phillips, PH.D.NPI 1073543179
Title
President
Phone
(516) 822-3131

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X 6069 NY
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X 6069 NY Primary

Addresses

Primary practice location

12 W Cherry St
Hicksville, NY 11801-3802

Mailing address

12 W Cherry St
Hicksville, NY 11801-3802
Phone (516) 822-3131

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260415003041 NY Part B Supplier - Clinic/Group Practice 4688140809 Receives reassigned benefits from 4 practitioners
Practice locations: Hicksville, NY

National Provider Directory

National Provider Directory

Locations

12 W Cherry St
Hicksville, NY 11801
Phone (516) 822-3131

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1439942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773100800000",
    "number": "1689040164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 W CHERRY ST",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118013802",
            "telephone_number": "516-822-3131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 W CHERRY ST",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118013802",
            "telephone_number": "516-822-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE COPING COUNSELOR- BALANCE PSYCHOLOGY SERVICES P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-19",
        "last_updated": "2026-03-10",
        "certification_date": "2026-03-10",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "HARLAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-822-3131",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "NY",
            "license": "6069",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "6069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hicksville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2026; 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.