Organization Active NPI

South Brooklyn Psychological Services PLLC

  • Clinical Psychologist
  • Brooklyn, NY
National Provider Identifier
1720965486
Registry record updated Aug 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
SOUTH BROOKLYN PSYCHOLOGICAL SERVICES PLLC
Practice address
1517 Voorhies Ave Ste 2
Brooklyn, NY 11235-3971
Phone
(917) 617-6731
NPI assigned
Aug 16, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2025

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

Authorized official

Name
Dr. Douglas Uhlig, PH.D.NPI 1295964922
Title
Owner
Phone
(917) 617-6731

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

1517 Voorhies Ave Ste 2
Brooklyn, NY 11235-3971

Mailing address

6766 108TH St Apt D27
Forest Hills, NY 11375-2906
Phone (917) 617-6731

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260227002568 NY Part B Supplier - Clinic/Group Practice 5496236341 Receives reassigned benefits from 1 practitioner
Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Locations

1517 Voorhies Ave
Ste 2
Brooklyn, NY 11235
Phone (917) 617-6731

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1755302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755302400000",
    "number": "1720965486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6766 108TH ST APT D27",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113752906",
            "telephone_number": "917-617-6731",
            "fax_number": "917-617-6731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1517 VOORHIES AVE STE 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353971",
            "telephone_number": "917-617-6731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH BROOKLYN PSYCHOLOGICAL SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-16",
        "last_updated": "2025-08-16",
        "certification_date": "2025-08-16",
        "status": "A",
        "authorized_official_last_name": "UHLIG",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-617-6731",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2025; 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.