Provider Demographics
NPI:1639486079
Name:PSYCHOLOGICAL HEALTH CARE OF ISLIP, P.C.
Entity Type:Organization
Organization Name:PSYCHOLOGICAL HEALTH CARE OF ISLIP, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT / PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:PATRICIA
Authorized Official - Last Name:MCALEER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:631-277-4080
Mailing Address - Street 1:PO BOX 712
Mailing Address - Street 2:
Mailing Address - City:SAYVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11782-0712
Mailing Address - Country:US
Mailing Address - Phone:631-277-4080
Mailing Address - Fax:631-288-1115
Practice Address - Street 1:100 S MAIN ST
Practice Address - Street 2:SUITE 206
Practice Address - City:SAYVILLE
Practice Address - State:NY
Practice Address - Zip Code:11782-3100
Practice Address - Country:US
Practice Address - Phone:631-277-4080
Practice Address - Fax:631-288-1115
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-07
Last Update Date:2010-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY011355103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty