Organization Active NPI

Columbus Circle Psychology Services, PLLC

  • Psychologist
  • New York, NY
National Provider Identifier
1750775763
Registry record updated Mar 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
020963 Issued in NY
Legal business name
COLUMBUS CIRCLE PSYCHOLOGY SERVICES, PLLC
Practice address
25 Central Park W
Suite 1-U
New York, NY 10023-7253
Phone
(917) 402-4582
NPI assigned
Mar 27, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2015

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

Authorized official

Name
Dr. Amy Daley, PH.D.
Title
Licensed Clinical Psychologist
Phone
(917) 402-4582

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 020963 NY Primary

Addresses

Primary practice location

25 Central Park W
Suite 1-U
New York, NY 10023-7253

Mailing address

875 W 181St St
4M
New York, NY 10033-4468
Phone (212) 927-0919

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1427414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427414400000",
    "number": "1750775763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 W 181ST ST",
            "address_2": "4M",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100334468",
            "telephone_number": "212-927-0919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 CENTRAL PARK W",
            "address_2": "SUITE 1-U",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100237253",
            "telephone_number": "917-402-4582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBUS CIRCLE PSYCHOLOGY SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-27",
        "last_updated": "2015-03-27",
        "status": "A",
        "authorized_official_last_name": "DALEY",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "LICENSED CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "917-402-4582",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "NY",
            "license": "020963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.