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LONG ISLAND COGNITIVE BEHAVIORAL PSYCHOLOGY NPI 1568903193


NPI Information

NPI: 1568903193
Provider Name: LONG ISLAND COGNITIVE BEHAVIORAL PSYCHOLOGY
Classification: Psychologist - 103TC0700X
Entity Type: Organization

Specialization: Clinical

CLIA Number: 33D2112834

Address:
283 COMMACK RD
SUITE LL1
COMMACK, NY
ZIP 11725
Phone: (631) 896-9216
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LONG ISLAND COGNITIVE BEHAVIORAL PSYCHOLOGY is a clinical psychologist in Commack, 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. LONG ISLAND COGNITIVE BEHAVIORAL PSYCHOLOGY NPI is 1568903193. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

283 COMMACK RD
SUITE LL1
COMMACK, NY
ZIP 11725-021
Phone: (631) 896-9216

The provider's authorized official is Irene Milonas .
The authorized official title is Psychologist/owner and has the following contact phone number (631) 896-9216.

The CLIA number assigned to this NPI record is 33D2112834 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/15/2017 and was last updated on 3/15/2017.


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
1103TC0700XPsychologistClinical0215741NEW YORKYes

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: 5/5/2024

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