Organization Active NPI

Pomegranate Psychological Services

  • Clinical Neuropsychologist
  • New York, NY
National Provider Identifier
1841461464
Registry record updated Mar 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
005418 Issued in NY
Legal business name
POMEGRANATE PSYCHOLOGICAL SERVICES
Practice address
19 W 34TH St
Penthouse
New York, NY 10001-3006
Phone
(212) 864-0326
Fax
(212) 665-9151
NPI assigned
Mar 24, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2008

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

Authorized official

Name
Eugene H Newman, PH.D.
Title
Owner
Phone
(212) 864-0326

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical NeuropsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103G00000X 005418 NY Primary

Addresses

Primary practice location

19 W 34TH St
Penthouse
New York, NY 10001-3006

Mailing address

210 W 101St St
Suite 3F
New York, NY 10025-5059
Phone (212) 864-0326

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1206316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206316800000",
    "number": "1841461464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 W 101ST ST",
            "address_2": "SUITE 3F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100255059",
            "telephone_number": "212-864-0326",
            "fax_number": "212-665-9151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 W 34TH ST",
            "address_2": "PENTHOUSE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100013006",
            "telephone_number": "212-864-0326",
            "fax_number": "212-665-9151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POMEGRANATE PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-24",
        "last_updated": "2008-03-24",
        "status": "A",
        "authorized_official_last_name": "NEWMAN",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-864-0326",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "NY",
            "license": "005418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.