PDG Psychological

Primary specialty

PsychologistTaxonomy code 103T00000X

License

041801 Issued in NY

Legal business name

PDG PSYCHOLOGICAL

Practice address

38 Butler Hill Rd
Somers, NY 10589-2405

Phone

(914) 276-0386

NPI assigned

Mar 10, 2008

Last updated

Mar 10, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Philip D Goldstein, PHD

Title

President

Phone

(914) 276-2474

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1205107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205107200000",
    "number": "1700056496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 BUTLER HILL RD",
            "city": "SOMERS",
            "state": "NY",
            "postal_code": "105892405",
            "telephone_number": "914-276-0386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 BUTLER HILL RD",
            "city": "SOMERS",
            "state": "NY",
            "postal_code": "105892405",
            "telephone_number": "914-276-0386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PDG PSYCHOLOGICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-10",
        "last_updated": "2008-03-10",
        "status": "A",
        "authorized_official_last_name": "GOLDSTEIN",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "914-276-2474",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "041801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vincent Orlando Jr., PT
• Papa Nutrition Wellness PLLC
• Kristine Revie Papa, RD
• Lorraine Jill Parker, D.C.
• Steven Paulus
• L Scott Pisciotti, DC
• Robert Louis Pitaro, M.D.
• Proactive Physical Therapy P.C.
• Emilie Jean Procario, MS, RDN, CDN
• Leslie Prusnofsky, MD

• Psychologist in Somers, NY
• Providers in Somers, NY by specialty
• Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2008; 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.