NPIMap

Organization Active NPI

Cognitive-Behavioral Psychology Services of Long Island

  • Clinical Psychologist
  • Commack, NY
National Provider Identifier
1861696817
Registry record updated Oct 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
009143-1 Issued in NY
Legal business name
COGNITIVE-BEHAVIORAL PSYCHOLOGY SERVICES OF LONG ISLAND
Practice address
2171 Jericho Tpke Ste 250
Commack, NY 11725-2947
Phone
(516) 558-7490
Fax
(877) 205-6740
NPI assigned
Jun 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2025

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

Authorized official

Name
Dr. Michael Barry Eberlin, PH.D.
Title
Director & Managing Member
Phone
(516) 558-7490

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 009143-1 NY Primary

Addresses

Primary practice location

2171 Jericho Tpke Ste 250
Commack, NY 11725-2947

Mailing address

2171 Jericho Tpke Ste 250
Commack, NY 11725-2947
Phone (516) 558-7490

Other names 1

  • Long Island Center for Cognitive Therapy Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Cognitive-Behavioral Psychology Services of Long Island PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2171 Jericho Tpke
Ste 250
Commack, NY 11725
Phone (516) 558-7490

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761609600000",
    "number": "1861696817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2171 JERICHO TPKE STE 250",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117252947",
            "telephone_number": "516-558-7490",
            "fax_number": "877-205-6740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2171 JERICHO TPKE STE 250",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117252947",
            "telephone_number": "516-558-7490",
            "fax_number": "877-205-6740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COGNITIVE-BEHAVIORAL PSYCHOLOGY SERVICES OF LONG ISLAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-13",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A",
        "authorized_official_last_name": "EBERLIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "BARRY",
        "authorized_official_title_or_position": "DIRECTOR & MANAGING MEMBER",
        "authorized_official_telephone_number": "516-558-7490",
        "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": "009143-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Long Island Center for Cognitive Therapy",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Commack, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2025; 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.