Gregory Alexander, PH.D. Psychologist, PC

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

Legal business name

GREGORY ALEXANDER, PH.D. PSYCHOLOGIST, PC

Practice address

260 W Main St Ste 9
Bay Shore, NY 11706-8322

Phone

(631) 969-9792

NPI assigned

Dec 9, 2019

Organization subpart

No

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

Authorized official

Name

Gregory Alexander, PH.D

Title

Owner

Phone

(631) 969-9792

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1575849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575849600000",
    "number": "1750928735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 W MAIN ST STE 9",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117068322",
            "telephone_number": "631-969-9792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 W MAIN ST STE 9",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117068322",
            "telephone_number": "631-969-9792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY ALEXANDER, PH.D. PSYCHOLOGIST, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-09",
        "last_updated": "2019-12-09",
        "certification_date": "2019-12-09",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-969-9792",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Counseling Psychologist in Bay Shore, NY
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• Counseling Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2019; 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.