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1578137121 NPI number — HORIZON PSYCHOLOGY OF NY, PLLC

NPI Number: 1578137121
Health Care Provider/Practitioner: HORIZON PSYCHOLOGY OF NY, PLLC

Information about “1578137121” NPI (HORIZON PSYCHOLOGY OF NY, PLLC) exists in 1578137121 in HTML format HTML  |  1578137121 in plain Text format TXT  |  1578137121 in PDF (Portable Document Format) PDF  |  1578137121 in an XML format XML  formats.

NPI Number : 1578137121 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1578137121",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "HORIZON PSYCHOLOGY OF NY, PLLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1000 MAIN ST STE G",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PORT JEFFERSON",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "11777-2250",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "631-209-7917",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1000 MAIN ST STE G",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PORT JEFFERSON",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "11777-2250",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "631-209-7917",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/18/2021",
    "LastUpdateDate": "01/30/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "DONNELLY-GREENBERG",
    "AuthorizedOfficialFirstName": "JENNIFER",
    "AuthorizedOfficialMiddleName": "E",
    "AuthorizedOfficialTitle": "CLINICAL PSYCHOLOGIST",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "PH.D.",
    "AuthorizedOfficialTelephoneNumber": "631-209-7917",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "261QM0801X",
          "TaxonomyName": "Mental Health Clinic/Center (Including Community Mental Health Center)",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "251S00000X",
          "TaxonomyName": "Community/Behavioral Health Agency",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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