NPIMap

Organization Active NPI

Random Thoughts Psychological Therapy P.C.

  • Clinical Psychologist
  • Brewster, NY
National Provider Identifier
1689084709
Registry record updated Apr 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0190551 Issued in NY
Legal business name
RANDOM THOUGHTS PSYCHOLOGICAL THERAPY P.C.
Practice address
1511 Route 22
Suite 128
Brewster, NY 10509-4020
Phone
(203) 313-0032
NPI assigned
Apr 28, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2014

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

Authorized official

Name
Dr. Kristine Danback, PHDNPI 1720368723
Title
Clinical Psychologist/Ceo
Phone
(203) 313-0032

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
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 0190551 NY Primary

Addresses

Primary practice location

1511 Route 22
Suite 128
Brewster, NY 10509-4020

Mailing address

1511 Route 22
Suite 128
Brewster, NY 10509-4020
Phone (203) 313-0032

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": "1398643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398643200000",
    "number": "1689084709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1511 ROUTE 22",
            "address_2": "SUITE 128",
            "city": "BREWSTER",
            "state": "NY",
            "postal_code": "105094020",
            "telephone_number": "203-313-0032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1511 ROUTE 22",
            "address_2": "SUITE 128",
            "city": "BREWSTER",
            "state": "NY",
            "postal_code": "105094020",
            "telephone_number": "203-313-0032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDOM THOUGHTS PSYCHOLOGICAL THERAPY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-28",
        "last_updated": "2014-04-28",
        "status": "A",
        "authorized_official_last_name": "DANBACK",
        "authorized_official_first_name": "KRISTINE",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST/CEO",
        "authorized_official_telephone_number": "203-313-0032",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "0190551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Apr 28, 2014; 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.