Organization Active NPI

Psychological Services Associate PC

  • Psychologist
  • Oceanside, NY
National Provider Identifier
1811049604
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
6185 Issued in NY
Legal business name
PSYCHOLOGICAL SERVICES ASSOCIATE PC
Practice address
2563 Eileen Rd
Oceanside, NY 11572-1308
Phone
(516) 599-2290
Fax
(516) 599-2815
NPI assigned
Jan 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Ben Accomando, PHD
Title
Administrative Director
Phone
(516) 599-2290

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X 6185 NY Primary

Addresses

Primary practice location

2563 Eileen Rd
Oceanside, NY 11572-1308

Mailing address

2563 Eileen Rd
Oceanside, NY 11572-1308
Phone (516) 599-2290

Other names 1

  • HEWLETT COUNSELING SERVICES Doing business as

National Provider Directory

National Provider Directory

Locations

2563 Eileen Rd
Oceanside, NY 11572
Phone (516) 599-2290

Practitioners & affiliated clinicians

Practitioners 2

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": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811049604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2563 EILEEN RD",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115721308",
            "telephone_number": "516-599-2290",
            "fax_number": "516-599-2815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2563 EILEEN RD",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115721308",
            "telephone_number": "516-599-2290",
            "fax_number": "516-599-2815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOLOGICAL SERVICES ASSOCIATE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ACCOMANDO",
        "authorized_official_first_name": "BEN",
        "authorized_official_title_or_position": "ADMINISTRATIVE DIRECTOR",
        "authorized_official_telephone_number": "516-599-2290",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "NY",
            "license": "6185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HEWLETT COUNSELING SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oceanside, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.