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

Stillwater Psychological and Occupational Therapy Assoc PLLC

Organization Clinical Psychologist · NPI 1982666822

Stillwater Psychological and Occupational Therapy Assoc PLLC is a Clinical Psychologist in Bay Shore, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
Specialties on file
3
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1840 Union Blvd
Bay Shore, NY 11706-7932
Phone: (631) 647-7885
Fax: (631) 647-7893
Show map & directions

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

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 011241 (NY)
Social Worker Taxonomy 104100000X · Licence 025669 (NY)
Occupational Therapist Taxonomy 225X00000X · Licence 009040 (NY)

Record details

NPI number1982666822
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shafer Zyzman — Ceo · (631) 647-7885
NPI enumeratedApril 5, 2006
Last updated in NPPESJune 22, 2019
Mailing address1840 Union Blvd, Bay Shore, NY 11706-7932

Other providers in Bay Shore