Provider Demographics
NPI:1013070341
Name:GINDES PSYCHOLOGICAL PLLC
Entity Type:Organization
Organization Name:GINDES PSYCHOLOGICAL PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ALEX
Authorized Official - Middle Name:
Authorized Official - Last Name:GINDES
Authorized Official - Suffix:
Authorized Official - Credentials:PSY D
Authorized Official - Phone:845-227-7661
Mailing Address - Street 1:10 CANTERBERRY CT
Mailing Address - Street 2:
Mailing Address - City:HOPEWELL JUNCTION
Mailing Address - State:NY
Mailing Address - Zip Code:12533-5261
Mailing Address - Country:US
Mailing Address - Phone:845-227-7661
Mailing Address - Fax:845-227-7661
Practice Address - Street 1:46 FOSTER RD
Practice Address - Street 2:RAMONA PARK STE 3
Practice Address - City:HOPEWELL JCT
Practice Address - State:NY
Practice Address - Zip Code:12533-6112
Practice Address - Country:US
Practice Address - Phone:845-227-7661
Practice Address - Fax:845-227-7661
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-18
Last Update Date:2008-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY10301103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01503497Medicaid
NYV69831Medicare ID - Type Unspecified