SELF REFLECTION PSYCHOLOGICAL SERVICES PLLC NPI 1437614328

NPI Information

  • NPI: 1437614328
  • Provider Name: SELF REFLECTION PSYCHOLOGICAL SERVICES, PLLC
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Other Name: SELF REFLECTION PSYCHOLOGICAL SERVICES
  • Address: 210 E MAIN ST
    MIDDLETOWN, NY
    ZIP 10940
  • Phone: (347) 922-4574

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NPI Details

SELF REFLECTION PSYCHOLOGICAL SERVICES, PLLC is a mental health (including community mental health center) clinic center in Middletown, NY. SELF REFLECTION PSYCHOLOGICAL SERVICES, PLLC NPI is 1437614328. The provider is registered as an organization entity type.
The provider Other Name Is Self Reflection Psychological Services.

The provider's business location address is:

210 E MAIN ST
MIDDLETOWN, NY
ZIP 10940-038
Phone: (347) 922-4574

The provider's authorized official is Taina Ortiz-velez .
The authorized official title is Psychologist and has the following contact phone number (347) 922-4574.

The enumeration date for this NPI number is 2/5/2019 and was last updated on 7/12/2019.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes

What is NPI?

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This page was last updated on: 11/21/2025

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