Organization Active NPI

Brooklyn Psychological Services PLLC

  • Psychologist
  • Brooklyn, NY
National Provider Identifier
1972303865
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
BROOKLYN PSYCHOLOGICAL SERVICES PLLC
Practice address
202 Foster Ave Ste B
Brooklyn, NY 11230-2130
Phone
(917) 414-8676
Fax
(718) 387-6429
NPI assigned
Mar 18, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2025

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

Authorized official

Name
Ron FinkelsteinNPI 1528527751
Title
PHD
Phone
(917) 414-8676

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

202 Foster Ave Ste B
Brooklyn, NY 11230-2130

Mailing address

202 Foster Ave Ste B
Brooklyn, NY 11230-2130
Phone (917) 414-8676

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250402001929 NY Part B Supplier - Clinic/Group Practice 5496278277 Receives reassigned benefits from 1 practitioner
Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Locations

202 Foster Ave
Ste B
Brooklyn, NY 11230
Phone (718) 431-0014

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": "1742256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743465600000",
    "number": "1972303865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 FOSTER AVE STE B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112302130",
            "telephone_number": "917-414-8676",
            "fax_number": "718-387-6429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 FOSTER AVE STE B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112302130",
            "telephone_number": "917-414-8676",
            "fax_number": "718-387-6429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKLYN PSYCHOLOGICAL SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-18",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A",
        "authorized_official_last_name": "FINKELSTEIN",
        "authorized_official_first_name": "RON",
        "authorized_official_title_or_position": "PHD",
        "authorized_official_telephone_number": "917-414-8676"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.