Advanced Psychological Assessment, P.C.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

016095 Issued in NY

Legal business name

ADVANCED PSYCHOLOGICAL ASSESSMENT, P.C.

Practice address

50 Karl Ave
Suite 104
Smithtown, NY 11787-2744

Phone

(631) 378-0741

NPI assigned

Feb 26, 2007

Last updated

Aug 7, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Shahal Rozenblatt, PH.D.NPI 1205837366

Title

President

Phone

(631) 378-0741

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shahal Rozenblatt, PH.D.

  • Psychologist
  • Smithtown, NY
  • NPI 1205837366
  Medicare reassignment NPD Authorized official
• Lisa R. Cane, PH.D.

  • Clinical Psychologist
  • Smithtown, NY
  • NPI 1669507216
  NPD (past)
• Mark Sandberg

  • Clinical Neuropsychologist
  • Port Jefferson, NY
  • NPI 1831191709
  NPD (past)

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186444800000",
    "number": "1750417408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 KARL AVE",
            "address_2": "SUITE 104",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117872744",
            "telephone_number": "631-378-0741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 KARL AVE",
            "address_2": "SUITE 104",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117872744",
            "telephone_number": "631-378-0741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PSYCHOLOGICAL ASSESSMENT, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2007-08-07",
        "status": "A",
        "authorized_official_last_name": "ROZENBLATT",
        "authorized_official_first_name": "SHAHAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-378-0741",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NY",
            "license": "016095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Adamo, NP
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• Epiphany Adams
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• Katrina M Agtuca
• Shannon Ahern, L.AC.
• Michele Ahmadi, DPM
• Noha Ahmed, LPN

• Clinical Neuropsychologist in Smithtown, NY
• Providers in Smithtown, NY by specialty
• Clinical Neuropsychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2007; 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.