Psychological Associates of Northeastern New York PC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

PSYCHOLOGICAL ASSOCIATES OF NORTHEASTERN NEW YORK PC

Practice address

551 Bay Rd
Queensbury, NY 12804-1280

Phone

(518) 798-4056

Fax

(518) 798-4255

NPI assigned

Jan 4, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Michael P Homenick, PHD

Title

President

Phone

(518) 798-4056

Specialties & licenses 1

Addresses

Other names 1

• Psychological Associates Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mindy Hartman Lavine, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Queensbury, NY
  • NPI 1588817639
  NPD (past)
• Bezalel Wurzberger

  • Psychiatry Physician
  • Marcy, NY
  • NPI 1699977280
  NPD (past)

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831246792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "551 BAY RD.",
            "city": "QUEENSBURY",
            "state": "NY",
            "postal_code": "128041280",
            "telephone_number": "518-798-4056",
            "fax_number": "518-798-4255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 BAY RD",
            "city": "QUEENSBURY",
            "state": "NY",
            "postal_code": "128041280",
            "telephone_number": "518-798-4056",
            "fax_number": "518-798-4255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOLOGICAL ASSOCIATES OF NORTHEASTERN NEW YORK PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOMENICK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "518-798-4056",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Psychological Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ashlee Prevost, CASAC-T
• Jodee A Price, OD
• Kathleen G Price
• Prime Care Physicians, P.L.L.C.
• Douglas E Provost, MD
• Beth A Purdy, OTR
• Kara Quackenbush
• Quality Hearing Instruments LLC
• Thomas A Quaresima, M.D.
• Queensbury Family Chiropractic

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

• 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.