Organization Active NPI

Alan Winder Psychological Services PC

  • Clinical Psychologist
  • Lawrence, NY
National Provider Identifier
1689945669
Registry record updated Nov 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
ALAN WINDER PSYCHOLOGICAL SERVICES PC
Practice address
7 Sterling PL
Lawrence, NY 11559-2414
Phone
(917) 751-7254
Fax
(866) 575-1763
NPI assigned
Jan 23, 2012
Last updated
Nov 18, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2024

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

Authorized official

Name
Dr. Alan WinderNPI 1891800355
Title
Director
Phone
(191) 775-1725

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 Psychologist 103TC0700X NU Primary

Addresses

Primary practice location

7 Sterling PL
Lawrence, NY 11559-2414

Mailing address

7 Sterling PL
Lawrence, NY 11559-2414
Phone (917) 751-7254

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130107000092 NY Part B Supplier - Clinic/Group Practice 3678726353 Receives reassigned benefits from 5 practitioners
Practice locations: Long Beach, NY; Monsey, NY; Flushing, NY; Far Rockaway, NY; Brooklyn, NY

National Provider Directory

National Provider Directory

Locations

6 Melnick Dr
Ste 220
Monsey, NY 10952

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1327276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731888000000",
    "number": "1689945669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 STERLING PL",
            "city": "LAWRENCE",
            "state": "NY",
            "postal_code": "115592414",
            "telephone_number": "917-751-7254",
            "fax_number": "866-575-1763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 STERLING PL",
            "city": "LAWRENCE",
            "state": "NY",
            "postal_code": "115592414",
            "telephone_number": "917-751-7254",
            "fax_number": "866-575-1763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALAN WINDER PSYCHOLOGICAL SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-23",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A",
        "authorized_official_last_name": "WINDER",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "191-775-1725",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; 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.