NPIMap

Organization Active NPI

Brooklyn Psychological Services, PLLC

  • Clinical Psychologist
  • Brooklyn, NY
National Provider Identifier
1740537927
Registry record updated Aug 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
010697 Issued in NY
Legal business name
BROOKLYN PSYCHOLOGICAL SERVICES, PLLC
Practice address
142 Joralemon St
Suite 9C
Brooklyn, NY 11201-4747
Phone
(718) 522-6517
Fax
(718) 522-3517
NPI assigned
Aug 7, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2012

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

Authorized official

Name
Dr. Maria R. Burgio, PHD
Title
Clinical Director
Phone
(718) 522-6517

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 010697 NY Primary

Addresses

Primary practice location

142 Joralemon St
Suite 9C
Brooklyn, NY 11201-4747

Mailing address

142 Joralemon St
Suite 9C
Brooklyn, NY 11201-4747
Phone (718) 522-6517

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1344297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344384000000",
    "number": "1740537927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 JORALEMON ST",
            "address_2": "SUITE 9C",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112014747",
            "telephone_number": "718-522-6517",
            "fax_number": "718-522-3517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 JORALEMON ST",
            "address_2": "SUITE 9C",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112014747",
            "telephone_number": "718-522-6517",
            "fax_number": "718-522-3517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKLYN PSYCHOLOGICAL SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-07",
        "last_updated": "2012-08-08",
        "status": "A",
        "authorized_official_last_name": "BURGIO",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "718-522-6517",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "010697",
            "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 8, 2012; 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.