Ridge Psychological Services PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

RIDGE PSYCHOLOGICAL SERVICES PLLC

Practice address

446 74TH St
Brooklyn, NY 11209-2602

Phone

(917) 921-0704

NPI assigned

Apr 30, 2018

Organization subpart

No

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

Authorized official

Name

Deborah De Santis-Moniaci, PHD

Title

Sole Member/Psychologist

Phone

(917) 921-0704

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1525046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525046400000",
    "number": "1922596543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "446 74TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112092602",
            "telephone_number": "917-921-0704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "446 74TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112092602",
            "telephone_number": "917-921-0704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIDGE PSYCHOLOGICAL SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-30",
        "last_updated": "2018-04-30",
        "status": "A",
        "authorized_official_last_name": "DE SANTIS-MONIACI",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "SOLE MEMBER/PSYCHOLOGIST",
        "authorized_official_telephone_number": "917-921-0704",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Brooklyn, NY
• Providers in Brooklyn, 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 Apr 30, 2018; 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.