Organization Active NPI

Lex Psychological Services PC

  • Clinical Psychologist
  • Douglaston, NY
National Provider Identifier
1700158763
Registry record updated Apr 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
017458 Issued in NY
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

Updated by the provider on Apr 5, 2012

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)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.