Healthcare Provider Details

I. General information

NPI: 1841944162
Provider Name (Legal Business Name): NORTHERN WESTCHESTER PSYCHOLOGICAL SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/06/2022
Last Update Date: 02/06/2022
Certification Date: 02/06/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

344 E MAIN ST STE 207
MOUNT KISCO NY
10549-3036
US

IV. Provider business mailing address

142 HARDSCRABBLE LAKE DR
CHAPPAQUA NY
10514-3044
US

V. Phone/Fax

Practice location:
  • Phone: 914-265-0462
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: RACHEL GERSTEIN
Title or Position: OWNER
Credential: PH.D.
Phone: 914-265-0462