Provider Demographics
NPI:1346602588
Name:BHAGWAT PSYCHOLOGICAL SERVICES, PLLC
Entity Type:Organization
Organization Name:BHAGWAT PSYCHOLOGICAL SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:RANJIT
Authorized Official - Middle Name:
Authorized Official - Last Name:BHAGWAT
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:518-309-2185
Mailing Address - Street 1:5 COMPUTER DR W STE 100-07
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12205-1613
Mailing Address - Country:US
Mailing Address - Phone:518-309-2185
Mailing Address - Fax:518-245-9180
Practice Address - Street 1:5 COMPUTER DR W STE 100-07
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12205-1613
Practice Address - Country:US
Practice Address - Phone:518-309-2185
Practice Address - Fax:518-245-9180
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-27
Last Update Date:2023-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY020594103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty