Queens Neuropsychological Services PLLC

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

Legal business name

QUEENS NEUROPSYCHOLOGICAL SERVICES PLLC

Practice address

25418 Northern Blvd Ste 3
Little Neck, NY 11362-1451

Phone

(646) 389-2283

NPI assigned

Sep 11, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Elsa Lee, PH.D.

Title

Psychologist/Owner

Phone

(646) 389-2283

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1568160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577923200000",
    "number": "1851940969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3233 202ND ST",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113611017",
            "telephone_number": "646-389-2283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25418 NORTHERN BLVD STE 3",
            "city": "LITTLE NECK",
            "state": "NY",
            "postal_code": "113621451",
            "telephone_number": "646-389-2283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEENS NEUROPSYCHOLOGICAL SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-11",
        "last_updated": "2020-01-02",
        "certification_date": "2020-01-02",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "ELSA",
        "authorized_official_title_or_position": "PSYCHOLOGIST/OWNER",
        "authorized_official_telephone_number": "646-389-2283",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Christine Pulkoski, LMSW
• Bernadette Pupilla, DPM
• Andrew Francis Pyo, L.AC
• Queens Dental Smile P.C
• Queens Neuropsychological and Behavioral Services
• Marivic Quiambao, MA
• Alex Reinharz
• Patricia Rella, LCSW
• Sally Rexing, LCSW
• Richmond Hill Eye Care

• Clinical Neuropsychologist in Little Neck, NY
• Providers in Little Neck, NY by specialty
• Clinical Neuropsychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 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.