Provider Demographics
NPI:1306836085
Name:PSYCHOLOGICAL ALTERNATIVES, PC
Entity Type:Organization
Organization Name:PSYCHOLOGICAL ALTERNATIVES, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:E
Authorized Official - Last Name:MCNAMEE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:914-328-9119
Mailing Address - Street 1:PO BOX 846
Mailing Address - Street 2:
Mailing Address - City:EAST QUOGUE
Mailing Address - State:NY
Mailing Address - Zip Code:11942-0846
Mailing Address - Country:US
Mailing Address - Phone:914-328-9119
Mailing Address - Fax:631-996-4615
Practice Address - Street 1:160 JESSUP AVENUE
Practice Address - Street 2:SECOND FLOOR
Practice Address - City:QUOGUE
Practice Address - State:NY
Practice Address - Zip Code:11959-0000
Practice Address - Country:US
Practice Address - Phone:914-328-9119
Practice Address - Fax:631-996-4615
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-25
Last Update Date:2015-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY5405103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
145894OtherVALUE OPTIONS
0091411OtherGHI
NYV25811Medicare ID - Type Unspecified
032455OtherGREENSPRING
88152OtherPHCS
NYV25811Medicare ID - Type Unspecified