Phobia Lifeline Psychological Services, Inc.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

003446 Issued in NY

Legal business name

PHOBIA LIFELINE PSYCHOLOGICAL SERVICES, INC.

Practice address

1600 Cedar St
Brooklyn, NY 11230-6044

Phone

(718) 339-2900

Fax

(718) 474-4569

NPI assigned

Feb 12, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Paul Schulman, PH.D.

Title

Director

Phone

(718) 339-2900

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831230622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 CEDAR ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112306044",
            "telephone_number": "718-339-2900",
            "fax_number": "718-474-4569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 CEDAR ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112306044",
            "telephone_number": "718-339-2900",
            "fax_number": "718-474-4569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOBIA LIFELINE PSYCHOLOGICAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCHULMAN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "718-339-2900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "NY",
            "license": "003446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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.