ALLIANCE PSYCHOLOGICAL SERVICES OF NEW YORK, PLLC (NPI# 1508374646) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508374646 |
| Entity Type | Organization |
| Organization Name | ALLIANCE PSYCHOLOGICAL SERVICES OF NEW YORK, PLLC |
| Practice Address |
1639 Centre St # 141 Ridgewood NY 11385-5335 |
| Practice Telephone | 7185942458 |
| Practice Fax Number | 7184259862 |
| Mailing Telephone | 7189719731 |
| Mailing Fax Number | 7184259862 |
| Enumeration Date | 2018-01-10 |
| Last Update Date | 2019-11-17 |
| Authorized Official Name | WILLIAM SOMERVILLE (OWNER) |
| Authorized Official Telephone | 7189719731 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
022436 | NY | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1663 Woodbine St # 3l, Ridgewood, NY 113853546 | 7185942458 |
| Street Address |
1639 CENTRE ST # 141 |
| City | RIDGEWOOD |
| State | NY |
| Zip Code | 11385-5335 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891181368 | William Somerville | Psychologist | 1639 Centre St # 141, Ridgewood, NY 11385-5335 | 2015-04-12 |
| 1558919274 | Juliet Spier Anderson | Social Worker | 1639 Centre St # 141, Ridgewood, NY 11385-5335 | 2019-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326650425 | Nicole Jablonska | Speech-Language Pathologist | 60-24 Grove Street, Ridgewood, NY 11385 | 2020-08-19 |
| 1295393296 | Ila Debra Christmas | Clinic/Center | 67-29 Myrtle Avenue, Glendale, NY 11385 | 2019-06-04 |
| 1164929584 | Carmen E. Vidal | Case Manager/Care Coordinator | 61-06 Metropolitan Ave., Ridgewood, NY 11385 | 2018-04-11 |
| 1467955385 | Avchemists LLC | Pharmacy | 68-28 Myrtle Ave, Glendale, NY 11385 | 2018-03-16 |
| 1235639667 | Yu-jen Hwang | Physical Therapist | 55-05 Myrtle Avenue, 2nd Floor, Ridgewood, NY 11385 | 2018-02-12 |
| 1477069185 | Selena Delgado | Behavior Technician | 64-07 Cooper Avenue, Glendale, NY 11385 | 2017-12-18 |
| 1851806913 | Myrtle Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 7933 Myrtle Ave, Flushing, NY 11385 | 2017-12-11 |
| 1104345727 | Suzanne Eng | Counselor | 1080 Wykoff Ave., Suite D4, Ridgewood, NY 11385 | 2017-09-14 |
| 1588183339 | Geri P Services Inc. | Early Intervention Provider Agency | 5938 Gates Ave, Ridgewood, NY 11385 | 2017-09-13 |
| 1922523935 | Kristen Michele Spang | Speech-Language Pathologist | 79-56 77th Road, Glendale, NY 11385 | 2017-08-10 |
| Find all providers in zip 11385 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891181368 | William Somerville | Psychologist | 1639 Centre St # 141, Ridgewood, NY 11385-5335 | 2015-04-12 |
| 1407059082 | Alnetta Lyshawn Hooper | Psychologist | 38 E Ridgewood Ave, Pmb 212, Ridgewood, NJ 07450-3808 | 2007-06-08 |
| 1992926638 | Robin Deborah Kanen | Psychologist | 76 West Ridgewood Ave., Ridgewood, NJ 07450 | 2007-05-01 |
| 1235355769 | Lifespan Psychological Associates, LLC | Psychologist | 615 Franklin Tpke Ste 1, Ridgewood, NJ 07450-1903 | 2007-04-17 |
| 1770619066 | Kathleen Mcnulty | Psychologist | 20 West Ridgewood Avenue, Suites 5 & 6, Ridgewood, NJ 07450-3705 | 2007-02-23 |
| 1447304522 | Thomas J Hurwitz | Psychologist | 1 Prospect Street, Suite 1, Ridgewood, NJ 07450-4404 | 2007-01-23 |
| 1154472751 | Michael Amatrula | Psychologist | 1172 E. Ridgewood Ave., Suite #9, Ridgewood, NJ 07450 | 2007-01-12 |
| 1093863623 | Laura Epstein Rosen | Psychologist | 1 Prospect St Ste 6, Ridgewood, NJ 07450-4421 | 2007-01-08 |
| 1437219011 | Amanda Rose O'brien Milleisen | Psychologist | 1 Prospect St Ste 4-7, Ridgewood, NJ 07450-4404 | 2006-12-12 |
| 1710065057 | Sharon Mcgovern Wolbert | Psychologist | 244 S Pleasant Ave, Ridgewood, NJ 07450-5338 | 2006-11-02 |
| Find all providers in RIDGEWOOD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.