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PSYCHOLOGY SERVICES OF WNY PC NPI 1174704878


NPI Information

NPI: 1174704878
Provider Name: PSYCHOLOGY SERVICES OF WNY, PC
Classification: Psychologist - 103TC0700X
Entity Type: Organization

Specialization: Clinical

Address:
5820 MAIN ST
SUITE 505B
WILLIAMSVILLE, NY
ZIP 14221
Phone: (716) 632-4942
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PSYCHOLOGY SERVICES OF WNY, PC is a clinical psychologist in Williamsville, NY. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. PSYCHOLOGY SERVICES OF WNY, PC NPI is 1174704878. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5820 MAIN ST
SUITE 505B
WILLIAMSVILLE, NY
ZIP 14221-776
Phone: (716) 632-4942

The provider's authorized official is Ron H Lelito .
The authorized official title is President and has the following contact phone number (716) 632-4942.

The enumeration date for this NPI number is 11/21/2007 and was last updated on 11/21/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TC0700XPsychologistClinical016184NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1RB0095MEDICARE PINNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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