Gramercy Psychological Services LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

GRAMERCY PSYCHOLOGICAL SERVICES LLC

Practice address

205 E 16TH St
Suite M1A
New York, NY 10003-3746

Phone

(212) 696-7494

Fax

(917) 720-9022

NPI assigned

Jun 10, 2010

Organization subpart

No

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

Authorized official

Name

Susan Carroll Berck, PSYD

Title

Owner

Phone

(212) 696-7494

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1276128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276128000000",
    "number": "1831419019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 E 16TH ST",
            "address_2": "SUITE M1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100033746",
            "telephone_number": "212-696-7494",
            "fax_number": "917-720-9022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 E 16TH ST",
            "address_2": "SUITE M1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100033746",
            "telephone_number": "212-696-7494",
            "fax_number": "917-720-9022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAMERCY PSYCHOLOGICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-10",
        "last_updated": "2010-06-10",
        "status": "A",
        "authorized_official_last_name": "BERCK",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "CARROLL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-696-7494",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in New York, NY
• Providers in New York, 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 Jun 10, 2010; 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.