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

Psychological Services for Self and Family, PLLC

Organization Psychologist · NPI 1417260571

Psychological Services for Self and Family, PLLC is a Psychologist in Fayetteville, New York. Licensed in New York. Registered with an NPI since 2010.

Licensed in
NY
In the registry since
2010
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

523 E Genesee St
Fayetteville, NY 13066-1536
Phone: (315) 637-9131
Fax: (315) 637-9151
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 009823-1 (NY)

Record details

NPI number1417260571
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Paul Cohen — Owner · (315) 637-9131
NPI enumeratedJuly 19, 2010
Last updated in NPPESJuly 19, 2010
Mailing address523 E Genesee St, Fayetteville, NY 13066-1536

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