Optimum Psychological Services PLLC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

014422 Issued in NY

Legal business name

OPTIMUM PSYCHOLOGICAL SERVICES PLLC

Practice address

833 58TH St Ste 3R
Brooklyn, NY 11220-3609

Phone

(718) 437-3558

Fax

(718) 437-6368

NPI assigned

Feb 12, 2008

Last updated

Jan 7, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Eva NG, PSYDNPI 1427011667

Title

Owner/Psychologist

Phone

(718) 437-3558

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Eva NG, PSYD

  • Psychologist
  • Brooklyn, NY
  • NPI 1427011667
  Medicare reassignment NPD Authorized official
• Xu Z Chen, M.D

  • Psychiatry Physician
  • Brooklyn, NY
  • NPI 1841410503
  NPD (past)

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

{
    "created_epoch": "1202774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389052800000",
    "number": "1811165848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 58TH ST STE 3R",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112203609",
            "telephone_number": "718-437-3558",
            "fax_number": "718-437-6368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 58TH ST STE 3R",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112203609",
            "telephone_number": "718-437-3558",
            "fax_number": "718-437-6368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMUM PSYCHOLOGICAL SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-12",
        "last_updated": "2014-01-07",
        "status": "A",
        "authorized_official_last_name": "NG",
        "authorized_official_first_name": "EVA",
        "authorized_official_title_or_position": "OWNER/PSYCHOLOGIST",
        "authorized_official_telephone_number": "718-437-3558",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "NY",
            "license": "014422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2014; 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.