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Contact Information

PSYCHOLOGICAL EVALUATION AND TESTING SERVICES, LLC
19 W 34TH ST
PENTHOUSE 1419
NEW YORK, NY10001-3006
 Phone: 212-947-7111
 Fax: 212-239-0948
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Adult Development & Aging

103TA0700X 62 Psychologist, Clinical
 

Clinical Child & Adolescent

103TC2200X 62 Psychologist, Clinical
 

Clinical Neuropsychologist

103G00000X
 

Cognitive & Behavioral

103TB0200X 62 Psychologist, Clinical
 

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for PSYCHOLOGICAL EVALUATION AND TESTING SERVICES, LLC

NPI Number 1760609663
LBN Legal business name PSYCHOLOGICAL EVALUATION AND TESTING SERVICES, LLC
Authorized official CHANELLE RICHARDS - (CLINICAL PSYCHOLOGIST)
Entity Organization
Organization subpart 1 No
Enumeration date 04/20/2007
Last updated 08/25/2011 - About 15 years ago
Identifiers
NY License # 016824
NY License # 017079
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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