Victory Behavioral Health Inc

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

16089 Issued in NY

Legal business name

VICTORY BEHAVIORAL HEALTH INC

Practice address

2291 Victory Boulevard
Staten Island, NY 10314

Phone

(718) 477-0228

Fax

(718) 477-0228

NPI assigned

Aug 3, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Stephen J Wakschal, PHDNPI 1033265806

Title

Pres Ceo

Phone

(718) 477-0228

Specialties & licenses 3

Addresses

Other names 1

• Cardio Behavioral Health The Attention Deficit Worshop Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 3

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

• Stephen Jeffrey Wakschal, PHD

  • Psychologist
  • Staten Island, NY
  • NPI 1033265806
  Medicare reassignment NPD Authorized official
• Janette Rosalia Ramos-Acosta, PH.D.

  • Clinical Psychologist
  • Staten Island, NY
  • NPI 1033380076
  NPD (past)
• Kim Denise Williams-Jenkins, LCSWR,CASAC,CRC,MSED

  • Clinical Social Worker
  • Staten Island, NY
  • NPI 1184891897
  NPD (past)

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1881601466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2291 VICTORY BOULEVARD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "10314",
            "telephone_number": "718-477-0228",
            "fax_number": "718-477-0228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2291 VICTORY BOULEVARD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "10314",
            "telephone_number": "718-477-0228",
            "fax_number": "718-477-0228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORY BEHAVIORAL HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "WAKSCHAL",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRES CEO",
        "authorized_official_telephone_number": "718-477-0228",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "NY",
            "license": "16089",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "16089",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NY",
            "license": "16089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cardio Behavioral Health The Attention Deficit Worshop",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anna Victor, RN
• Elizabeth C Victor, LMHC
• Victoria Capuano LCSW PLLC
• Hector Rivera Victoriano, OTR/L
• Victory Ambulatroy Services, LLC
• Victory Blvd Medical Procedures PC
• Victory Blvd Social Day Care Inc
• Victory Dental PLLC
• Victory Family Pharmacy, LLC
• Victory Internal Medicine, P.C.

• Clinical Child & Adolescent Psychologist in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Clinical Child & Adolescent Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.