Active NPI
Lex Psychological Services PC
- Clinical Psychologist
- Douglaston, NY
National Provider Identifier
1700158763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 017458
- Legal business name
- LEX PSYCHOLOGICAL SERVICES PC
- Practice address
- 4360 Douglaston Pkwy
#221
Douglaston, NY 11363-1838 - Phone
- (718) 224-1533
- NPI assigned
- Feb 6, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Prof. Cajetan Uchendu
- Title
- President
- Phone
- (718) 224-1533
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 017458 | NY | Primary |
Addresses
Primary practice location
4360 Douglaston Pkwy
#221
Douglaston, NY 11363-1838
Mailing address
4360 Douglaston Pkwy
#221
Douglaston, NY 11363-1838
Phone (718) 224-1533
National Provider Directory
National Provider DirectoryLocations
2 Wilson Pl
Fl 3
Mount Vernon, NY 10550
Phone (914) 664-5383
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328486400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1333584000000",
"number": "1700158763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4360 DOUGLASTON PKWY",
"address_2": "#221",
"city": "DOUGLASTON",
"state": "NY",
"postal_code": "113631838",
"telephone_number": "718-224-1533"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4360 DOUGLASTON PKWY",
"address_2": "#221",
"city": "DOUGLASTON",
"state": "NY",
"postal_code": "113631838",
"telephone_number": "718-224-1533"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEX PSYCHOLOGICAL SERVICES PC",
"organizational_subpart": "NO",
"enumeration_date": "2012-02-06",
"last_updated": "2012-04-05",
"status": "A",
"authorized_official_last_name": "UCHENDU",
"authorized_official_first_name": "CAJETAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "718-224-1533",
"authorized_official_name_prefix": "Prof."
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "017458",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Douglaston, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.