PSYCHOLOGICAL HEALTHCARE PLLC NPI 1922109578

NPI Information

NPI: 1922109578
Provider Name: PSYCHOLOGICAL HEALTHCARE, PLLC
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
3300 JAMES ST
SUITE 100
SYRACUSE, NY
ZIP 13206
Phone: (315) 422-0300
Get Directions

PSYCHOLOGICAL HEALTHCARE, PLLC is a professional counselor in Syracuse, NY. PSYCHOLOGICAL HEALTHCARE, PLLC NPI is 1922109578. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3300 JAMES ST
SUITE 100
SYRACUSE, NY
ZIP 13206-387
Phone: (315) 422-0300
Fax: (315) 479-8455

The provider's authorized official is Elliott Richelson .
The authorized official title is President, Secretary, Treasurer and has the following contact phone number (904) 605-4986.

The enumeration date for this NPI number is 9/26/2006 and was last updated on 2/7/2023.

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
1	101YP2500X	Counselor	Professional			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	01715746	MEDICAID	NEW 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: 4/28/2024

NPI Synchronization or Removal

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