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Contact Information

NORTHEAST PSYCHOLOGICAL ASSOCIATES
435 NEW KARNER RD
HAVOVER SQUARE
ALBANY, NY12205
 Phone: 518-456-2060
 Fax: 518-456-2361
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for NORTHEAST PSYCHOLOGICAL ASSOCIATES · (Female)

NPI Number 1275751133
Status Active
Credentials
Entity Individual
Enumeration date 04/23/2007
Last updated 09/11/2025 - About 9 months ago
Sole proprietor 1 Not specified
Identifiers
  • NY License # 0111791
  • NY License # 0114752
  • NY License # 056814
  • NY License # 0697551
  • NY License # R038168
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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