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

New York Psychological Practice

Organization Psychologist · NPI 1063060887

New York Psychological Practice is a Psychologist in Staten Island, New York. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

979 Lamont Ave
Staten Island, NY 10309-2207
Phone: (347) 524-4169
Fax: (718) 565-5070
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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 number1063060887
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Virginia Boga — Director · (347) 524-4169
NPI enumeratedAugust 27, 2019
Last updated in NPPESAugust 27, 2019
Mailing address979 Lamont Ave, Staten Island, NY 10309-2207

Other providers in Staten Island