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

North Fork Neuropsychology

Organization Clinical Neuropsychologist · NPI 1225309339

North Fork Neuropsychology is a Clinical Neuropsychologist in Medford, New York. Registered with an NPI since 2012.

In the registry since
2012
Specialties on file
3

Practice location Address checks out

12 Platinum Ct
Medford, NY 11763-2247
Phone: (631) 875-2748
Fax: (480) 247-4658
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X
Clinical Neuropsychologist Taxonomy 103G00000X
Clinical Child & Adolescent Psychologist Taxonomy 103TC2200X

Record details

NPI number1225309339
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Celine Paillot — Founder And Owner · (631) 875-2748
NPI enumeratedJanuary 20, 2012
Last updated in NPPESJanuary 20, 2012
Mailing address12 Platinum Ct, Medford, NY 11763-2247