Psychological & Family Services

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

005499-1 Issued in NY

Legal business name

PSYCHOLOGICAL & FAMILY SERVICES

Practice address

500 N McBride St
Syracuse, NY 13203-1913

Phone

(315) 472-9042

Fax

(315) 472-9065

NPI assigned

Jun 9, 2008

Last updated

Jul 23, 2008By 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. Jerome Rene Wilett

Title

Owner

Phone

(315) 472-9042

Specialties & licenses 1

Addresses

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.

• Kathleen Anne Riley-Tryon, LCSW

  • Clinical Social Worker
  • Syracuse, NY
  • NPI 1093809204
  NPD (past)
• Terri Bays Hall, LCSW

  • Clinical Social Worker
  • Oxford, MS
  • NPI 1487720835
  NPD (past)

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

{
    "created_epoch": "1212969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216771200000",
    "number": "1821257460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 N MCBRIDE ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132031913",
            "telephone_number": "315-472-9042",
            "fax_number": "315-472-9065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N MCBRIDE ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132031913",
            "telephone_number": "315-472-9042",
            "fax_number": "315-472-9065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOLOGICAL & FAMILY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-09",
        "last_updated": "2008-07-23",
        "status": "A",
        "authorized_official_last_name": "WILETT",
        "authorized_official_first_name": "JEROME",
        "authorized_official_middle_name": "RENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-472-9042",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "005499-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anastasia Przybyla
• Psychiatric Wellness Care, PLLC
• Psychiatry Faculty Practice, Inc.
• Psychiatry Services of New York PC
• Psychiatry Services of New York, P.C.
• Psychological Healthcare, PLLC
• Sheila M Ptak, NP
• Mihael J Puc, MD
• Gina Alexandra Pucello, NP
• Jacey M Pudney, MD

• Clinical Psychologist in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2008; 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.