Healthcare Provider Details

I. General information

NPI: 1952515090
Provider Name (Legal Business Name): CATSKILL FAMILY INSTITUTE - COUNSELING CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/09/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

283 MAIN ST
CATSKILL NY
12414-1512
US

IV. Provider business mailing address

283 MAIN ST
CATSKILL NY
12414-1512
US

V. Phone/Fax

Practice location:
  • Phone: 518-943-0244
  • Fax:
Mailing address:
  • Phone: 518-943-0244
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: MS. BRENDA L GOGGER
Title or Position: OFFICE MANAGER
Credential:
Phone: 518-943-0244