Active NPI
Hudson Psychological Services LLC
- Clinical Psychologist
- Staten Island, NY
National Provider Identifier
1962848739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- HUDSON PSYCHOLOGICAL SERVICES LLC
- Practice address
- 105 Byrne Ave
Staten Island, NY 10314-4406 - Phone
- (718) 982-0231
- NPI assigned
- May 20, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Isaura De la Caridad Gonzalez, PSY. D.
- Title
- Owner
- Phone
- (718) 982-0231
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Development & Aging Psychologist | 103TA0700X | |||
| Cognitive & Behavioral Psychologist | 103TB0200X | |||
| Clinical Psychologist | 103TC0700X | Primary | ||
| Clinical Child & Adolescent Psychologist | 103TC2200X | |||
| Family Psychologist | 103TF0000X |
Addresses
Primary practice location
105 Byrne Ave
Staten Island, NY 10314-4406
Mailing address
105 Byrne Ave
Staten Island, NY 10314-4406
Phone (718) 982-0231
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369008000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1369008000000",
"number": "1962848739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 BYRNE AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103144406",
"telephone_number": "718-982-0231"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 BYRNE AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103144406",
"telephone_number": "718-982-0231"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HUDSON PSYCHOLOGICAL SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-05-20",
"last_updated": "2013-05-20",
"status": "A",
"authorized_official_last_name": "GONZALEZ",
"authorized_official_first_name": "ISAURA",
"authorized_official_middle_name": "DE LA CARIDAD",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "718-982-0231",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSY. D."
},
"taxonomies": [
{
"code": "103TA0700X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Adult Development & Aging",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TB0200X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Cognitive & Behavioral",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": true
},
{
"code": "103TC2200X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TF0000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Family",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.