Provider Demographics
NPI:1508296799
Name:COMPLETE PSYCHOLOGICAL SERVICES, PC
Entity Type:Organization
Organization Name:COMPLETE PSYCHOLOGICAL SERVICES, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:IAN
Authorized Official - Last Name:WEINBERGER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:914-323-0345
Mailing Address - Street 1:660 WHITE PLAINS RD
Mailing Address - Street 2:630
Mailing Address - City:TARRYTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10591-5139
Mailing Address - Country:US
Mailing Address - Phone:914-323-0345
Mailing Address - Fax:914-219-3173
Practice Address - Street 1:660 WHITE PLAINS RD
Practice Address - Street 2:630
Practice Address - City:TARRYTOWN
Practice Address - State:NY
Practice Address - Zip Code:10591-5139
Practice Address - Country:US
Practice Address - Phone:914-323-0345
Practice Address - Fax:914-219-3173
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-25
Last Update Date:2013-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty