Valley Psychological, PC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

003552 Issued in NY

Legal business name

VALLEY PSYCHOLOGICAL, PC

Practice address

169 Sterling St
Brooklyn, NY 11225-3416

Phone

(914) 419-0088

NPI assigned

Oct 6, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Jonathan Bernard Kogen, PHD

Title

Owner

Phone

(914) 419-0088

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1317859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423526400000",
    "number": "1740564905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 STERLING ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112253416",
            "telephone_number": "914-419-0088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 STERLING ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112253416",
            "telephone_number": "914-419-0088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY PSYCHOLOGICAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-06",
        "last_updated": "2015-02-10",
        "status": "A",
        "authorized_official_last_name": "KOGEN",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "BERNARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-419-0088",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "NY",
            "license": "003552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Venus Vallejo, OTR/L
• Andrew Xavier Vallejos
• Stephanie Valles-Mann
• Ariana Louise Valles
• Gladys Maria Vallespir Ellett, RN, IBCLC, LCCE
• Valley Stream Diagnostic Medicine P.C.
• Valley Stream Medical of New York, LLC
• Valley Stream Occupational Therapy P.C
• Agathi Vallianatos, M.D.
• Catherine Vallone, MS, CCC-SLP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2015; 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.