Suffolk County Neuropsychological Services, PLLC

Primary specialty

Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X

License

011687-1 Issued in NY

Legal business name

SUFFOLK COUNTY NEUROPSYCHOLOGICAL SERVICES, PLLC

Doing business as

Neuropsychological Associates, LLC

Practice address

77 Medford Avenue
Suite D
Patchogue, NY 11772-9999

Phone

(631) 366-3369

Fax

(631) 366-2043

NPI assigned

Nov 23, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Edward John Barnoski, PHDNPI 1932134087

Title

Owner

Phone

(631) 366-3369

Specialties & licenses 1

Addresses

Other names 1

• Neuropsychological Associates, LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

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

• Edward John Barnoski, PH.D.

  • Clinical Neuropsychologist
  • Patchogue, NY
  • NPI 1932134087
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1290470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299801600000",
    "number": "1861794919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 MEDFORD AVENUE",
            "address_2": "SUITE D",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117729999",
            "telephone_number": "631-366-3369",
            "fax_number": "631-366-2043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 MEDFORD AVENUE",
            "address_2": "SUITE D",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117729999",
            "telephone_number": "631-366-3369",
            "fax_number": "631-366-2043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUFFOLK COUNTY NEUROPSYCHOLOGICAL SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-23",
        "last_updated": "2011-03-11",
        "status": "A",
        "authorized_official_last_name": "BARNOSKI",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-366-3369",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "NY",
            "license": "011687-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neuropsychological Associates, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nancy Pol Stith, P.T.
• Jennifer Ann Stock
• Melissa Stone, RN
• Jahnice Monique Strange, LPN
• Mary Lynn Straw, ANP
• Suffolk County Perinatal Coalition, Inc (Suffolk Perinatal Coalition)
• Suffolk Endodontics
• Stephanie Sujeski
• Katherine Beth Sullivan
• Sun River Health Inc

• Cognitive & Behavioral Psychologist in Patchogue, NY
• Providers in Patchogue, NY by specialty
• Cognitive & Behavioral Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.