Organization Active NPI

Summit Psychological Services PLLC

  • Clinical Psychologist
  • Great Neck, NY
National Provider Identifier
1942546338
Registry record updated Jan 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
018283 Issued in NY
Legal business name
SUMMIT PSYCHOLOGICAL SERVICES PLLC
Practice address
17 Barstow Rd
Suite 400
Great Neck, NY 11021-2212
Phone
(516) 448-2524
NPI assigned
Dec 12, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2013

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

Authorized official

Name
Dr. Marian Matthaey, PHD
Title
Psychologist
Phone
(516) 448-2524

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 018283 NY Primary

Addresses

Primary practice location

17 Barstow Rd
Suite 400
Great Neck, NY 11021-2212

Mailing address

17 Barstow Rd
Suite 400
Great Neck, NY 11021-2212
Phone (516) 448-2524

National Provider Directory

National Provider Directory

Locations

17 Barstow Rd
Ste 400
Great Neck, NY 11021
Phone (516) 448-2524

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1355270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359331200000",
    "number": "1942546338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 BARSTOW RD",
            "address_2": "SUITE 400",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110212212",
            "telephone_number": "516-448-2524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 BARSTOW RD",
            "address_2": "SUITE 400",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110212212",
            "telephone_number": "516-448-2524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT PSYCHOLOGICAL SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-12",
        "last_updated": "2013-01-28",
        "status": "A",
        "authorized_official_last_name": "MATTHAEY",
        "authorized_official_first_name": "MARIAN",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "516-448-2524",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "018283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Neck, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.