SH Geriatric Psychological Services P.C .

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

015238-1 Issued in NY

Legal business name

SH GERIATRIC PSYCHOLOGICAL SERVICES P.C .

Practice address

125 Ocean Ave
Lynbrook, NY 11563-1900

Phone

(516) 858-2665

NPI assigned

Dec 20, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Susan J Hall

Title

Phychologist

Phone

(718) 268-6600

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1387497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387497600000",
    "number": "1730500554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118-35 QUEENS BLVD",
            "address_2": "SUITE 1403",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113757205",
            "telephone_number": "718-265-6600",
            "fax_number": "718-265-6065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 OCEAN AVE",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115631900",
            "telephone_number": "516-858-2665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SH GERIATRIC PSYCHOLOGICAL SERVICES P.C .",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-20",
        "last_updated": "2013-12-20",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PHYCHOLOGIST",
        "authorized_official_telephone_number": "718-268-6600",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "015238-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jill Seltzer
• Rosemary Sepe Viets, MS,RD, CDN
• Jahanshah Seraji Bozorgzad, MD
• Shadi Seraji, MD
• Jarleyn Severino
• Sadiyah Shakur
• Mei Shao, LMT
• Samir Sharma
• Anarkaly Yollet Shaw-Clarke, RN
• Marcy Marie Shaw

• Clinical Psychologist in Lynbrook, NY
• Providers in Lynbrook, 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 Dec 20, 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.