Dr Richard J Dackow Psychology Services

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

DR RICHARD J DACKOW PSYCHOLOGY SERVICES

Practice address

15 Donald St
Eastport, NY 11941-1401

Phone

(516) 330-4545

Fax

(516) 654-8870

NPI assigned

Sep 16, 2019

Last updated

Jan 22, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Linda Dackow

Title

Office Manager

Phone

(631) 288-4488

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1568592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674345600000",
    "number": "1962052589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 DONALD ST",
            "city": "EASTPORT",
            "state": "NY",
            "postal_code": "119411401",
            "telephone_number": "516-330-4545",
            "fax_number": "516-654-8870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 DONALD ST",
            "city": "EASTPORT",
            "state": "NY",
            "postal_code": "119411401",
            "telephone_number": "516-330-4545",
            "fax_number": "516-654-8870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR RICHARD J DACKOW PSYCHOLOGY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-16",
        "last_updated": "2023-01-22",
        "certification_date": "2023-01-22",
        "status": "A",
        "authorized_official_last_name": "DACKOW",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "631-288-4488",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Joan Cavanaugh
• Theresa Ceruti, MS
• Shannon Tracy Constantine
• Helen Denniston, P.T.
• William T Donovan, PH.D., LMHC
• Sally Einfeldt
• Denise Ferrari, OTRL
• Andrew John Fleming
• Alexander Fuller, PA-C
• Genovese Drug Stores Inc (Rite Aid Pharmacy 10668)

• Clinical Psychologist in Eastport, NY
• Providers in Eastport, 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 Jan 22, 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.