Healthcare Provider Details

I. General information

NPI: 1265511224
Provider Name (Legal Business Name): ECS PSYCHOLOGICAL SERVICES PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/02/2006
Last Update Date: 03/17/2023
Certification Date: 03/17/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

210 CHURCH ST
SARATOGA SPRINGS NY
12866-1010
US

IV. Provider business mailing address

210 CHURCH ST
SARATOGA SPRINGS NY
12866-1010
US

V. Phone/Fax

Practice location:
  • Phone: 518-580-0520
  • Fax: 518-580-9975
Mailing address:
  • Phone: 518-580-0520
  • Fax: 518-580-9975

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number015519-1
License Number StateNY

VIII. Authorized Official

Name: DR. ERIN K CHRISTOPHER-SISK
Title or Position: CLINICAL DIRECTOR
Credential: PH.D.
Phone: 518-580-0520