Neshama Psychological Services

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

Legal business name

NESHAMA PSYCHOLOGICAL SERVICES

Practice address

13037 235TH St
Rosedale, NY 11422-1215

Phone

(646) 209-3753

NPI assigned

Aug 4, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Dr. Eartha M Hackett, PHD

Title

Clinical Director

Phone

(929) 786-9552

Specialties & licenses 1

Addresses

Other names 1

• Neshama Psychological Services Doing business as

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

{
    "created_epoch": "1691107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691107200000",
    "number": "1942982244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13037 235TH ST",
            "city": "ROSEDALE",
            "state": "NY",
            "postal_code": "114221215",
            "telephone_number": "646-209-3753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13037 235TH ST",
            "city": "ROSEDALE",
            "state": "NY",
            "postal_code": "114221215",
            "telephone_number": "646-209-3753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NESHAMA PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-04",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "status": "A",
        "authorized_official_last_name": "HACKETT",
        "authorized_official_first_name": "DR. EARTHA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "929-786-9552",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neshama Psychological Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Habib Nazarian, M.D.
• Laceyann Romona Nelson
• Pauline Nelson
• Verna P Nelson, LPN
• Nephrology and Internal Medicine Specialist, P.C.
• Lianne NG
• Karen E Nimmons, RDN
• Jonathan Nnebe, BSN/RN
• Lesley Nnebe
• North Valley Medical, PC

• Counseling Psychologist in Rosedale, NY
• Providers in Rosedale, NY by specialty
• Counseling Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2023; 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.