Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Active Change Psychological Services, PLLC

Organization Psychologist · NPI 1053938837

Active Change Psychological Services, PLLC is a Psychologist in Syosset, New York. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6800 Jericho Tpke Ste 120W
Syosset, NY 11791-4445
Phone: (516) 835-2048
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X

Record details

NPI number1053938837
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jay Saul — Member · (516) 835-2048
NPI enumeratedJune 29, 2020
Last updated in NPPESJune 29, 2020
Certification dateJune 29, 2020
Mailing address6800 Jericho Tpke Ste 120w, Syosset, NY 11791-4445

Other providers in Syosset