Organization Active NPI

Counseling & Psychological Services for the Individual, Family, Group,

  • Clinical Psychologist
  • Merrick, NY
National Provider Identifier
1750673992
Registry record updated May 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
009010 Issued in NY
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

Updated by the provider on May 6, 2011

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

Authorized official

Name
Dr. Shaul Rabinowitz, PH.DNPI 1396893301
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)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X 009010 NY Primary
Clinical Child & Adolescent PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110630000036 NY Part B Supplier - Clinic/Group Practice 0941488514 Receives reassigned benefits from 1 practitioner
Practice locations: Merrick, NY; New York, NY

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.