Growing Minds Psychological Services PLLC

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

Legal business name

GROWING MINDS PSYCHOLOGICAL SERVICES PLLC

Practice address

358 Veterans Memorial Hwy Ste 9
Commack, NY 11725-4326

Phone

(631) 493-7876

NPI assigned

Oct 23, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Rebecca Wade, PSY.D.

Title

Owner

Phone

(631) 493-7876

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Rebecca Kissinger

  • Psychologist
  • Commack, NY
  • NPI 1508509894
  NPD

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

{
    "created_epoch": "1729641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729641600000",
    "number": "1902627714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "358 VETERANS MEMORIAL HWY STE 9",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117254326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "358 VETERANS MEMORIAL HWY STE 9",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117254326",
            "telephone_number": "631-493-7876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROWING MINDS PSYCHOLOGICAL SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-23",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A",
        "authorized_official_last_name": "WADE",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-493-7876",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory W Kennedy DDS PLLC
• Glenda Gregory, LCSW
• Scott Michael Gressin, P.A.
• Margaret M Griesing, PTA
• Inok Gross
• Marc Harris Grusensky, MD
• Nicholas Guaglione
• James M. Gucciardo, DPT
• Guiding Hearts Helping Hands LCSW, PLLC
• Stephen Michael Guido, PH.D.

• Clinical Child & Adolescent Psychologist in Commack, NY
• Providers in Commack, 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 Oct 23, 2024; 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.