Provider Demographics
NPI:1558885681
Name:RAINA V. LAMADE, PH.D. PSYCHOLOGICAL SERVICES, P.C.
Entity Type:Organization
Organization Name:RAINA V. LAMADE, PH.D. PSYCHOLOGICAL SERVICES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RAINA
Authorized Official - Middle Name:V
Authorized Official - Last Name:LAMADE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:631-748-7687
Mailing Address - Street 1:16417 45TH AVE
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11358-3215
Mailing Address - Country:US
Mailing Address - Phone:631-748-7687
Mailing Address - Fax:
Practice Address - Street 1:29 BARSTOW RD STE 304
Practice Address - Street 2:
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11021-2209
Practice Address - Country:US
Practice Address - Phone:631-748-7687
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-31
Last Update Date:2021-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
No103TF0200XBehavioral Health & Social Service ProvidersPsychologistForensicGroup - Multi-Specialty