Queens Neuropsychological and Behavioral Services

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

022457 Issued in NY

Legal business name

QUEENS NEUROPSYCHOLOGICAL AND BEHAVIORAL SERVICES

Practice address

25418 Northern Blvd Ste 3
Little Neck, NY 11362-1451

Phone

(646) 389-2283

NPI assigned

Feb 1, 2018

Last updated

Feb 22, 2018By 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

Elsa Lee, PH.D.NPI 1043718505

Title

Director

Phone

(646) 389-2283

Specialties & licenses 4

Addresses

Practitioners 1

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.

• Elsa Lee, PH.D.

  • Clinical Psychologist
  • Little Neck, NY
  • NPI 1043718505

  Clinical Neuropsychologist

  NPD (past) Authorized official

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

{
    "created_epoch": "1517443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519257600000",
    "number": "1700384013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25418 NORTHERN BLVD STE 3",
            "city": "LITTLE NECK",
            "state": "NY",
            "postal_code": "113621451",
            "telephone_number": "646-389-2283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25418 NORTHERN BLVD STE 3",
            "city": "LITTLE NECK",
            "state": "NY",
            "postal_code": "113621451",
            "telephone_number": "646-389-2283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEENS NEUROPSYCHOLOGICAL AND BEHAVIORAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-01",
        "last_updated": "2018-02-22",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "ELSA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "646-389-2283",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NY",
            "license": "022457",
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "NY",
            "license": "022457",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "022457",
            "primary": true
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NY",
            "license": "022457",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haralabos Prassakos
• Lisa Christine Pulkoski, LMSW
• Bernadette Pupilla, DPM
• Andrew Francis Pyo, L.AC
• Queens Dental Smile P.C
• Queens Neuropsychological Services PLLC
• Marivic Quiambao, MA
• Alex Reinharz
• Patricia Rella, LCSW
• Sally Rexing, LCSW

• Clinical Psychologist in Little Neck, NY
• Providers in Little Neck, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2018; 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.