Provider Demographics
NPI:1841741451
Name:OSOS PSYCHOLOGICAL SERVICES
Entity Type:Organization
Organization Name:OSOS PSYCHOLOGICAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NICK
Authorized Official - Middle Name:
Authorized Official - Last Name:TOLCHIN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:973-224-5028
Mailing Address - Street 1:45 W 21ST ST
Mailing Address - Street 2:6D
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10010-6865
Mailing Address - Country:US
Mailing Address - Phone:973-224-5028
Mailing Address - Fax:
Practice Address - Street 1:31 TAYLOR DR
Practice Address - Street 2:
Practice Address - City:WEST CALDWELL
Practice Address - State:NJ
Practice Address - Zip Code:07006-6918
Practice Address - Country:US
Practice Address - Phone:973-224-5028
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-18
Last Update Date:2016-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY018227103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty