Active NPI
Counseling & Psychological Services for the Individual, Family, Group,
- Clinical Psychologist
- Merrick, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 009010
- Legal business name
- COUNSELING & PSYCHOLOGICAL SERVICES FOR THE INDIVIDUAL, FAMILY, GROUP,
- Doing business as
- The Counseling and Psychotherapy Practice
- Practice address
- 124 Merrick Ave
Merrick, NY 11566-3434 - Phone
- (516) 868-8401
- Fax
- (516) 239-0443
- NPI assigned
- May 6, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Shaul Rabinowitz, PH.D
- Title
- Director
- Phone
- (516) 868-8401
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 009010 | NY | Primary |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 009010 | NY |
Addresses
Primary practice location
124 Merrick Ave
Merrick, NY 11566-3434
Mailing address
124 Merrick Ave
Merrick, NY 11566-3434
Phone (516) 868-8401
Other names 1
- The Counseling and Psychotherapy Practice
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
124 Merrick Ave
Rm 3
Merrick, NY 11566
Phone (212) 260-5395
113 University Pl
Ste 801
New York, NY 10003
Phone (212) 229-0692
124 Merrick Ave
North Merrick, NY 11566
Phone (516) 377-4054
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Child & Adolescent Psychologist
- Merrick, NY
- NPI 1396893301
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304640000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1304640000000",
"number": "1750673992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "124 MERRICK AVE",
"city": "MERRICK",
"state": "NY",
"postal_code": "115663434",
"telephone_number": "516-868-8401",
"fax_number": "516-239-0443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "124 MERRICK AVE",
"city": "MERRICK",
"state": "NY",
"postal_code": "115663434",
"telephone_number": "516-868-8401",
"fax_number": "516-239-0443"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COUNSELING & PSYCHOLOGICAL SERVICES FOR THE INDIVIDUAL, FAMILY, GROUP,",
"organizational_subpart": "NO",
"enumeration_date": "2011-05-06",
"last_updated": "2011-05-06",
"status": "A",
"authorized_official_last_name": "RABINOWITZ",
"authorized_official_first_name": "SHAUL",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "516-868-8401",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "009010",
"primary": true
},
{
"code": "103TC2200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "NY",
"license": "009010",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "The Counseling and Psychotherapy Practice",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Merrick, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2011; 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.