Minisink Psychology & Psychotherapy, PC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

15093 Issued in NY

Legal business name

MINISINK PSYCHOLOGY & PSYCHOTHERAPY, PC

Practice address

55 Old Turnpike Rd
Suite 208
Nanuet, NY 10954-2461

Phone

(845) 624-2994

Fax

(845) 294-6272

NPI assigned

Dec 27, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Suzannah LB Espinosa, PH.D.

Title

Owner

Phone

(845) 624-2994

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.

• Shreyas Baxi, MD

  • Psychiatry Physician
  • Goshen, NY
  • NPI 1831297001
  NPD (past)
• Dean Mark Scher, PHD, LCSW

  • Clinical Social Worker
  • Goshen, NY
  • NPI 1265621676
  NPD (past)

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831254804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 LAUREL HILL DR",
            "city": "WESTTOWN",
            "state": "NY",
            "postal_code": "109983921",
            "telephone_number": "845-624-2994",
            "fax_number": "845-294-6272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 OLD TURNPIKE RD",
            "address_2": "SUITE 208",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "109542461",
            "telephone_number": "845-624-2994",
            "fax_number": "845-294-6272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINISINK PSYCHOLOGY & PSYCHOTHERAPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ESPINOSA",
        "authorized_official_first_name": "SUZANNAH",
        "authorized_official_middle_name": "LB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-624-2994",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "15093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emmett J Miller, LPN
• Jacqueline Mills, LPN
• Ewa K Milshtein, LPN
• Catherine Milton, APN
• Mindspace Health NP in Psychiatry PLLC
• Taylor Marie Mischke
• Alexis Mitchell
• Grizelle Calabia Mitre, NURSE
• John Michael Mitre
• Priya Mittal, LMHC

• All providers in Nanuet, NY
• Clinical 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.