Provider Demographics
NPI:1558633776
Name:ROCKLAND PSYCHOLOGY ASSOCIATES, PLLC
Entity Type:Organization
Organization Name:ROCKLAND PSYCHOLOGY ASSOCIATES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHEYLAH
Authorized Official - Middle Name:
Authorized Official - Last Name:SIMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:CBCS
Authorized Official - Phone:845-354-5400
Mailing Address - Street 1:11 MEDICAL PARK DR
Mailing Address - Street 2:SUITE 202
Mailing Address - City:POMONA
Mailing Address - State:NY
Mailing Address - Zip Code:10970-3559
Mailing Address - Country:US
Mailing Address - Phone:845-354-5400
Mailing Address - Fax:845-354-9342
Practice Address - Street 1:11 MEDICAL PARK DR
Practice Address - Street 2:SUITE 202
Practice Address - City:POMONA
Practice Address - State:NY
Practice Address - Zip Code:10970-3559
Practice Address - Country:US
Practice Address - Phone:845-354-5400
Practice Address - Fax:845-354-9342
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-03
Last Update Date:2012-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty