| Comprehensive Psychology Services Pllc | |
|
64 County Road 39 Southampton NY 11968-5215 | |
| (631) 702-1000 | |
| Not Available |
| Full Name | Comprehensive Psychology Services Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 64 County Road 39, Southampton, New York |
| Authorized Official Name and Position | Amy Rosen (SOLE MEMBER) |
| Authorized Official Contact | 6317086041 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Comprehensive Psychology Services Pllc 31 Nw Landing Rd East Hampton NY 11937-5122 Ph: (631) 708-6041 | Comprehensive Psychology Services Pllc 64 County Road 39 Southampton NY 11968-5215 Ph: (631) 702-1000 |
| NPI Number | 1992980148 |
|---|---|
| Provider Enumeration Date | 01/07/2008 |
| Last Update Date | 04/26/2017 |
| Medicare PECOS PAC ID | 4688750441 |
|---|---|
| Medicare Enrollment ID | O20080320000015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992980148 | NPI | - | NPPES |
| 02949668 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 013842 (New York) | Primary |
| Provider Name | Amy B Rosen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1730136177 PECOS PAC ID: 2365461290 Enrollment ID: I20051121000152 |
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