Active NPI
David Steven Close, PSY.D.
- Clinical Psychologist
- Brentwood, NY
National Provider Identifier
1700105269
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 014552
- Practice address
- 998 Crooked Hill Rd
Building 56
Brentwood, NY 11717-1019 - Phone
- (631) 761-2871
- NPI assigned
- May 24, 2010
- Last updated
- May 24, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Hospital | 283Q00000X | 014552 | NY | |
| Clinical Psychologist | 103TC0700X | 014552 | NY | Primary |
Addresses
Primary practice location
998 Crooked Hill Rd
Building 56
Brentwood, NY 11717-1019
Mailing address
998 Crooked Hill Rd
Building 56
Brentwood, NY 11717-1019
Phone (631) 761-2871
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 014552 | NY | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1274659200000",
"number": "1700105269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "998 CROOKED HILL RD",
"address_2": "BUILDING 56",
"city": "BRENTWOOD",
"state": "NY",
"postal_code": "117171019",
"telephone_number": "631-761-2871"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "998 CROOKED HILL RD",
"address_2": "BUILDING 56",
"city": "BRENTWOOD",
"state": "NY",
"postal_code": "117171019",
"telephone_number": "631-761-2871"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLOSE",
"first_name": "DAVID",
"middle_name": "STEVEN",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-05-24",
"last_updated": "2010-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "283Q00000X",
"taxonomy_group": "",
"desc": "Psychiatric Hospital",
"state": "NY",
"license": "014552",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "014552",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brentwood, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.