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Contact Information

AWARENESS PSYCHOLOGICAL HEALTH AND GROWTH SERVICES
1394 STONY BROOK RD
STONY BROOK, NY11790-2205
 Phone: 617-429-8049
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for AWARENESS PSYCHOLOGICAL HEALTH AND GROWTH SERVICES

NPI Number 1851517270
LBN Legal business name AWARENESS PSYCHOLOGICAL HEALTH AND GROWTH SERVICES
Authorized official RIVCKA EDELSTEIN - (DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 04/17/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers
NY License # 8090-1
NY Other V5332 EMPIRE BLUE CROSS
NY Other 81182000 MAGELLAN BEHAVIORAL HEALT
NY Other 058472 VALUE OPTIONS
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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