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CENTRAL NEW YORK MEDICAL PRACTICE PLLC NPI 1962765016


NPI Information

NPI: 1962765016
Provider Name: CENTRAL NEW YORK MEDICAL PRACTICE, PLLC
Classification: Psychologist - 103TC0700X
Entity Type: Organization

Specialization: Clinical

Address:
600 E GENESEE ST
SYRACUSE, NY
ZIP 13202
Phone: (315) 464-3157
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CENTRAL NEW YORK MEDICAL PRACTICE, PLLC is a clinical psychologist in Syracuse, 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. CENTRAL NEW YORK MEDICAL PRACTICE, PLLC NPI is 1962765016. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

600 E GENESEE ST
SYRACUSE, NY
ZIP 13202-130
Phone: (315) 464-3157

The provider's authorized official is Robert Myers .
The authorized official title is Executive Director and has the following contact phone number (315) 798-4040.

The enumeration date for this NPI number is 6/22/2012 and was last updated on 11/12/2012.


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
12084P0800XPsychiatry & NeurologyPsychiatryNo
2103TC0700XPsychologistClinicalYes

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

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