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Contact Information

FERNDALE PSYCHOLOGICAL SERVICES
111 SULLIVAN AVE
SUITE 2-5
FERNDALE, NY12734-4315
 Phone: 845-292-6222
 Fax: 845-292-6220
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Prescribing (Medical)

103TP0016X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for FERNDALE PSYCHOLOGICAL SERVICES

NPI Number 1164827317
LBN Legal business name FERNDALE PSYCHOLOGICAL SERVICES
Authorized official MICHAEL SCHWARTZ - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/30/2014
Last updated 05/19/2026 - About 3 weeks ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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