Rivertowns Psychological Associates, P.C.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

013148-1 Issued in NY

Legal business name

RIVERTOWNS PSYCHOLOGICAL ASSOCIATES, P.C.

Practice address

875 W End Ave
Suite 1B
New York, NY 10025-4919

Phone

(914) 400-3588

Fax

(914) 478-5192

NPI assigned

Mar 17, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Jeffery Taylor Dyke, PH.D.

Title

President

Phone

(914) 400-3588

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1237248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237248000000",
    "number": "1851532196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 SAW MILL RIVER RD",
            "address_2": "SUITE 3C-S1",
            "city": "ARDSLEY",
            "state": "NY",
            "postal_code": "105022157",
            "telephone_number": "914-329-0759",
            "fax_number": "914-478-5192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 W END AVE",
            "address_2": "SUITE 1B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100254919",
            "telephone_number": "914-400-3588",
            "fax_number": "914-478-5192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERTOWNS PSYCHOLOGICAL ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-17",
        "last_updated": "2009-03-17",
        "status": "A",
        "authorized_official_last_name": "DYKE",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_middle_name": "TAYLOR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "914-400-3588",
        "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": "013148-1",
            "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 Mar 17, 2009; 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.