Empire Neuropsychological Services PLLC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

EMPIRE NEUROPSYCHOLOGICAL SERVICES PLLC

Practice address

318 Delaware Ave Ste 21
Delmar, NY 12054-1911

Phone

(518) 496-3903

NPI assigned

Jun 27, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Jodie Gayle Cohen, PH.D.NPI 1417238544

Title

Owner

Phone

(518) 496-3903

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Jodie Gayle Cohen, PH.D.

  • Clinical Neuropsychologist
  • Delmar, NY
  • NPI 1417238544
  NPD Authorized official

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

{
    "created_epoch": "1719446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719446400000",
    "number": "1740025196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 536",
            "city": "DELMAR",
            "state": "NY",
            "postal_code": "120540536",
            "telephone_number": "845-548-2991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 DELAWARE AVE STE 21",
            "city": "DELMAR",
            "state": "NY",
            "postal_code": "120541911",
            "telephone_number": "518-496-3903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPIRE NEUROPSYCHOLOGICAL SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-27",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "JODIE",
        "authorized_official_middle_name": "GAYLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-496-3903",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen A Durivage, LCSW
• Kate Elise Dushane, RPH
• Tracy Lynn Dushane
• Michael Dygert, LMHC
• Elemental Physical Therapy, PLLC
• Empowered Midwifery Care PLLC
• Audrey Etkin, PT
• Jessica Farbent, MS ED.
• Brian Louis Fast, PSYD
• Maria Fast, PSY.D.

• Psychologist in Delmar, NY
• Providers in Delmar, NY by specialty
• Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; 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.