Healthcare Provider Details

I. General information

NPI: 1144138660
Provider Name (Legal Business Name): MEGAN K GOLLEY PSYCHOLOGICAL SERVICES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/28/2026
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 N GREENBUSH ROAD STE 3 #1009
RENSSELAER NY
12144-8412
US

IV. Provider business mailing address

600 N GREENBUSH ROAD STE 3 #1009
RENSSELAER NY
12144-8412
US

V. Phone/Fax

Practice location:
  • Phone: 518-227-1995
  • Fax: 518-760-6519
Mailing address:
  • Phone: 518-227-1995
  • Fax: 518-760-6519

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. MEGAN K GOLLEY
Title or Position: PSYCHOLOGIST
Credential: PH.D.
Phone: 518-227-1995