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

Pediatric Psychology of New York, PLLC

Organization Clinical Psychologist · NPI 1386910347

Pediatric Psychology of New York, PLLC is a Clinical Psychologist in Maspeth, New York. Licensed in New York. Registered with an NPI since 2012.

Licensed in
NY
In the registry since
2012
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

6083 71st St
Maspeth, NY 11378-2913
Phone: (888) 342-6002
Fax: (347) 344-6594
Show map & directions

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

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 018098 (NY)

Record details

NPI number1386910347
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Grudberg — Member · (888) 342-6002
NPI enumeratedMarch 23, 2012
Last updated in NPPESMarch 23, 2012
Mailing addressPo Box 604434, Bayside, NY 11360-4434

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