Organization Active NPI

Neuropsychological Services of Westchester,PLLC

  • Clinical Psychologist
  • White Plains, NY
National Provider Identifier
1720258965
Registry record updated May 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
NEUROPSYCHOLOGICAL SERVICES OF WESTCHESTER,PLLC
Practice address
34 South Broadway
Suite 500
White Plains, NY 10601-4400
Phone
(914) 949-4045
Fax
(914) 949-8065
NPI assigned
Mar 4, 2008
Last updated
May 10, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
NEUROPSYCHOLOGICAL SERVICES OF WESTCHESTER, PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 10, 2022

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

Authorized official

Name
Mr. Robert J Dunkle, PHDNPI 1538330451
Title
Owner/Member
Phone
(914) 949-4045

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X NU
Cognitive & Behavioral Psychologist 103TB0200X NU
Clinical Psychologist 103TC0700X NU Primary
Clinical Child & Adolescent Psychologist 103TC2200X NU
Exercise & Sports Psychologist 103TE1100X NU
Intellectual & Developmental Disabilities Psychologist 103TM1800X NU
Group Psychotherapy Psychologist 103TP2701X NU
Rehabilitation Psychologist 103TR0400X NU
School Psychologist 103TS0200X NU

Addresses

Primary practice location

34 South Broadway
Suite 500
White Plains, NY 10601-4400

Mailing address

34 South Broadway
Suite 500
White Plains, NY 10601-4400
Phone (914) 949-4045

Other names 1

  • Charlotte A. Tomaino Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080730000310 NY Part B Supplier - Clinic/Group Practice 1456425115 Receives reassigned benefits from 3 practitioners
Practice locations: White Plains, NY

National Provider Directory

National Provider Directory
Part of
Neuropsychological Services of Westchester PLLC

Locations

34 S Broadway
Ste 500
White Plains, NY 10601
Phone (914) 949-4045

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1204588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652140800000",
    "number": "1720258965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 SOUTH BROADWAY",
            "address_2": "SUITE 500",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106014400",
            "telephone_number": "914-949-4045",
            "fax_number": "914-949-8065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 SOUTH BROADWAY",
            "address_2": "SUITE 500",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106014400",
            "telephone_number": "914-949-4045",
            "fax_number": "914-949-8065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROPSYCHOLOGICAL SERVICES OF WESTCHESTER,PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEUROPSYCHOLOGICAL SERVICES OF WESTCHESTER, PLLC",
        "enumeration_date": "2008-03-04",
        "last_updated": "2022-05-10",
        "certification_date": "2022-05-10",
        "status": "A",
        "authorized_official_last_name": "DUNKLE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/MEMBER",
        "authorized_official_telephone_number": "914-949-4045",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TE1100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Exercise & Sports",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TR0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Charlotte A. Tomaino",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in White Plains, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.