Provider Demographics
NPI:1689095374
Name:YORK PSYCHOLOGY, P.L.L.C.
Entity Type:Organization
Organization Name:YORK PSYCHOLOGY, P.L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JANINE
Authorized Official - Middle Name:
Authorized Official - Last Name:YORK
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:518-673-8060
Mailing Address - Street 1:66 MONTGOMERY ST
Mailing Address - Street 2:
Mailing Address - City:CANAJOHARIE
Mailing Address - State:NY
Mailing Address - Zip Code:13317-1212
Mailing Address - Country:US
Mailing Address - Phone:518-673-8060
Mailing Address - Fax:518-673-8061
Practice Address - Street 1:66 MONTGOMERY ST
Practice Address - Street 2:
Practice Address - City:CANAJOHARIE
Practice Address - State:NY
Practice Address - Zip Code:13317-1212
Practice Address - Country:US
Practice Address - Phone:518-673-8060
Practice Address - Fax:518-673-8061
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-23
Last Update Date:2013-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0184501103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty