NPIMap

Organization Active NPI

Metropolitan Psychological & Licensed Master Social Work Services PLLC

  • Clinical Psychologist
  • Bay Shore, NY
National Provider Identifier
1891833588
Registry record updated Nov 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
007267-1 Issued in NY
Legal business name
METROPOLITAN PSYCHOLOGICAL & LICENSED MASTER SOCIAL WORK SERVICES PLLC
Practice address
260 Montauk Highway
Suite 8
Bay Shore, NY 11706
Phone
(631) 647-9011
Fax
(631) 647-9012
NPI assigned
Feb 2, 2007
Last updated
Nov 27, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2013

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

Authorized official

Name
Shafer Zysman, PHD, LMSWNPI 1093778144
Title
Ceo
Phone
(631) 647-9011

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X 007267-1 NY Primary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X R050228-1 NY

Addresses

Primary practice location

260 Montauk Highway
Suite 8
Bay Shore, NY 11706

Mailing address

260 Montauk Highway
Suite 8
Bay Shore, NY 11706
Phone (631) 647-9011

Other names 1

  • Metropolitan Psychological & Social Work Services ALZ PLLC Former legal business name

National Provider Directory

National Provider Directory

Locations

260 W Main St
Bay Shore, NY 11706
Phone (631) 647-9009

Practitioners & affiliated clinicians

Practitioners 30

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385510400000",
    "number": "1891833588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 MONTAUK HIGHWAY",
            "address_2": "SUITE 8",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "11706",
            "telephone_number": "631-647-9011",
            "fax_number": "631-647-9012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 MONTAUK HIGHWAY",
            "address_2": "SUITE 8",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "11706",
            "telephone_number": "631-647-9011",
            "fax_number": "631-647-9012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METROPOLITAN PSYCHOLOGICAL & LICENSED MASTER SOCIAL WORK SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2013-11-27",
        "status": "A",
        "authorized_official_last_name": "ZYSMAN",
        "authorized_official_first_name": "SHAFER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "631-647-9011",
        "authorized_official_credential": "PHD, LMSW"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "007267-1",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R050228-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Metropolitan Psychological & Social Work Services ALZ PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Bay Shore, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2013; 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.