| Positive Behavior Support Consulting & Psychological Resources Pc | |
|
410 Fort Salonga Rd Northport NY 11768-3046 | |
| (631) 262-8561 | |
| (631) 261-6052 |
| Full Name | Positive Behavior Support Consulting & Psychological Resources Pc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 410 Fort Salonga Rd, Northport, New York |
| Authorized Official Name and Position | Darlene Magito Mclaughlin (PRESIDENT) |
| Authorized Official Contact | 6312628561 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Positive Behavior Support Consulting & Psychological Resources Pc 410 Fort Salonga Rd Northport NY 11768-3046 Ph: (631) 262-8561 | Positive Behavior Support Consulting & Psychological Resources Pc 410 Fort Salonga Rd Northport NY 11768-3046 Ph: (631) 262-8561 |
| NPI Number | 1306290515 |
|---|---|
| Provider Enumeration Date | 04/14/2016 |
| Last Update Date | 11/22/2022 |
| Certification Date | 11/22/2022 |
| Medicare PECOS PAC ID | 0840606356 |
|---|---|
| Medicare Enrollment ID | O20210309000107 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306290515 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 014498 (New York) | Primary |
| Provider Name | Darlene Magito-mclaughlin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1609994110 PECOS PAC ID: 1658787163 Enrollment ID: I20210309000224 |
| Provider Name | Nancy Langdon |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1902432511 PECOS PAC ID: 7214343698 Enrollment ID: I20210310000001 |
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