NPIMap

Organization Active NPI

On-Site Psychological Services PC

  • Clinical Psychologist
  • Ridgefield, CT
National Provider Identifier
1992807887
Registry record updated May 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
ON-SITE PSYCHOLOGICAL SERVICES PC
Practice address
415 Main St
Ridgefield, CT 06877-4500
Phone
(203) 438-7565
NPI assigned
Sep 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2019

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

Authorized official

Name
Marie L Preneta
Title
Clinical Director
Phone
(203) 438-7565

Specialties & licenses 1

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

Addresses

Primary practice location

415 Main St
Ridgefield, CT 06877-4500

Mailing address

PO Box 1107
Ridgefield, CT 06877
Phone (203) 438-7565

Other practice location 1

327 Central Park W
Ste 5D
New York, NY 10025
Phone (212) 662-1062

Other practice location 2

167 Route 304
Nanuet, NY 10954-2050
Phone (845) 374-0121

Other identifiers 1

IdentifierTypeStateIssuer
03333406MedicaidNY

National Provider Directory

National Provider Directory

Locations

415 Main St
Ridgefield, CT 06877
Phone (203) 438-7565

50 N Saddle River Rd
Airmont, NY 10952
Phone (845) 352-5209

180 Sargent Ave
Beacon, NY 12508
Phone (845) 831-0394

16011 89th Ave
Jamaica, NY 11432
Phone (212) 866-5700

809 Stuart Ave
Mamaroneck, NY 10543
Phone (914) 698-2824

26 Old Route 82
Millbrook, NY 12545
Phone (516) 405-6700

52 Bakertown Rd
Ste 406
Monroe, NY 10950

15 Monsey Blvd
Apt 6
Monsey, NY 10952
Phone (845) 356-3400

125 Sister Servants Ln
Sloatsburg, NY 10974
Phone (845) 753-2555

Practitioners & affiliated clinicians

Practitioners 35

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

View all 35

NPI Registry JSON

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558396800000",
    "number": "1992807887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1107",
            "city": "RIDGEFIELD",
            "state": "CT",
            "postal_code": "06877",
            "telephone_number": "203-438-7565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 MAIN ST",
            "city": "RIDGEFIELD",
            "state": "CT",
            "postal_code": "068774500",
            "telephone_number": "203-438-7565"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "327 Central Park W",
            "address_2": "Ste 5D",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "10025",
            "country_code": "US",
            "telephone_number": "212-662-1062",
            "fax_number": "212-665-5636",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "167 Route 304",
            "address_purpose": "LOCATION",
            "city": "Nanuet",
            "state": "NY",
            "postal_code": "109542050",
            "country_code": "US",
            "telephone_number": "845-374-0121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ON-SITE PSYCHOLOGICAL SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-02",
        "last_updated": "2019-05-21",
        "status": "A",
        "authorized_official_last_name": "PRENETA",
        "authorized_official_first_name": "MARIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "203-438-7565"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03333406",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgefield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2019; 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.