Healthcare Provider Details

I. General information

NPI: 1932427499
Provider Name (Legal Business Name): COMPREHENSIVE CONSULTATION PSYCHOLOGICAL SERVICES, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/08/2010
Last Update Date: 11/11/2025
Certification Date: 11/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11420 QUEENS BLVD # CS2
FOREST HILLS NY
11375-7056
US

IV. Provider business mailing address

11420 QUEENS BLVD # CS2
FOREST HILLS NY
11375-7056
US

V. Phone/Fax

Practice location:
  • Phone: 718-441-0166
  • Fax: 718-805-2054
Mailing address:
  • Phone: 718-441-0166
  • Fax: 718-805-2054

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code2084N0402X
TaxonomyNeurology with Special Qualifications in Child Neurology Physician
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number68-016117
License Number StateNY
# 6
Primary TaxonomyN
Taxonomy Code103TM1800X
TaxonomyIntellectual & Developmental Disabilities Psychologist
License Number68-016117
License Number StateNY
# 7
Primary TaxonomyN
Taxonomy Code103TF0200X
TaxonomyForensic Psychologist
License Number68-016117
License Number StateNY
# 8
Primary TaxonomyN
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number68-016117
License Number StateNY
# 9
Primary TaxonomyN
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number68-016117
License Number StateNY
# 10
Primary TaxonomyY
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License Number68-016117
License Number StateNY

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: DR. SANAM HAFEEZ
Title or Position: CEO; CLINICAL DIRECTOR & NEUROPSYCH
Credential: PSYD
Phone: 718-441-0166