Organization Active NPI

R.G. Psychological Services, P.C.

  • Psychologist
  • Lynbrook, NY
National Provider Identifier
1720037427
Registry record updated Aug 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
R.G. PSYCHOLOGICAL SERVICES, P.C.
Practice address
303 Merrick Rd
Suite 204
Lynbrook, NY 11563-2501
Phone
(800) 725-6280
Fax
(800) 725-6380
NPI assigned
May 9, 2006
Last updated
Aug 29, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2013

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

Authorized official

Name
Mrs. Kelly Labruzzo
Title
Administrative Director
Phone
(800) 725-6280

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X NY Primary

Addresses

Primary practice location

303 Merrick Rd
Suite 204
Lynbrook, NY 11563-2501

Mailing address

303 Merrick Rd
Suite 204
Lynbrook, NY 11563-2501
Phone (800) 725-6280

Other identifiers 1

IdentifierTypeStateIssuer
01615874MedicaidNY

National Provider Directory

National Provider Directory

Locations

140 Washington Avenue Ext
Albany, NY 12203
Phone (518) 462-1689

2 Clara Barton Dr
Ste 118
Albany, NY 12208
Phone (518) 396-3626

301 Hackett Blvd
Albany, NY 12208
Phone (518) 525-1297

1125 Grand Concourse
Bronx, NY 10452
Phone (718) 293-8100

2999 Schurz Ave
Bronx, NY 10465
Phone (347) 329-1800

945 E 108th St
Brooklyn, NY 11236
Phone (212) 874-0143

1 Old Country Rd
Ste 271
Carle Place, NY 11514

574 Fulton St
Farmingdale, NY 11735
Phone (516) 694-9800

820 Albany Shaker Rd
Loudonville, NY 12211
Phone (518) 869-2231

303 Merrick Rd
Ste 204
Lynbrook, NY 11563

21240 Hillside Ave
Queens Village, NY 11427
Phone (212) 772-6443

100 Saratoga Blvd
Saratoga Springs, NY 12866
Phone (518) 584-7766

390 Church St
Saratoga Springs, NY 12866
Phone (518) 584-3317

1523 State St
Schenectady, NY 12304
Phone (518) 347-2441

357 Kings Rd
Schenectady, NY 12304
Phone (518) 374-4468

52 Route 25A
Smithtown, NY 11787
Phone (631) 862-3100

14310 20th Ave
Whitestone, NY 11357
Phone (718) 961-1212

Practitioners & affiliated clinicians

Practitioners 50

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.

View all 50

NPI Registry JSON

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377734400000",
    "number": "1720037427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 MERRICK RD",
            "address_2": "SUITE 204",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115632501",
            "telephone_number": "800-725-6280",
            "fax_number": "800-725-6380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 MERRICK RD",
            "address_2": "SUITE 204",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115632501",
            "telephone_number": "800-725-6280",
            "fax_number": "800-725-6380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R.G. PSYCHOLOGICAL SERVICES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-09",
        "last_updated": "2013-08-29",
        "status": "A",
        "authorized_official_last_name": "LABRUZZO",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "ADMINISTRATIVE DIRECTOR",
        "authorized_official_telephone_number": "800-725-6280",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01615874",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynbrook, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2013; 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.