Dr. Clifford Issacoff Clinical Psychologist, P.C.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

009286 Issued in NY

Legal business name

DR. CLIFFORD ISSACOFF CLINICAL PSYCHOLOGIST, P.C.

Practice address

126 E Main St
East Islip, NY 11730-2600

Phone

(631) 277-8367

NPI assigned

Jun 11, 2014

Organization subpart

No

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

Authorized official

Name

Clifford Issacoff, PHDNPI 1750300844

Title

Owner

Phone

(631) 277-8367

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

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

• Clifford Issacoff, PH D

  • Clinical Psychologist
  • East Islip, NY
  • NPI 1750300844
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1402444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402444800000",
    "number": "1871907451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 254",
            "city": "ISLIP TERRACE",
            "state": "NY",
            "postal_code": "117520254",
            "telephone_number": "631-277-8367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 E MAIN ST",
            "city": "EAST ISLIP",
            "state": "NY",
            "postal_code": "117302600",
            "telephone_number": "631-277-8367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. CLIFFORD ISSACOFF CLINICAL PSYCHOLOGIST, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-11",
        "last_updated": "2014-06-11",
        "status": "A",
        "authorized_official_last_name": "ISSACOFF",
        "authorized_official_first_name": "CLIFFORD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-277-8367",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "009286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Domozych, DDS
• Robert Anthony Domozych Jr., DMD
• Joseph E Donaghy
• Wishny Etienne Dormay, LPN
• Christine Dottin
• Annmarie Frances Drago, RN,LPN
• Erin L Drinkwater, LCSW-R
• Kathleen Dropela, CNM, NP
• Samantha Drywa
• Deyon Durante-Fuentes, RN, BSN

• Clinical Psychologist in East Islip, NY
• Providers in East Islip, 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 Jun 11, 2014; 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.