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

Brandon Patallo

Individual provider Clinical Child & Adolescent Psychologist · NPI 1093480147

Brandon Patallo is a Clinical Child & Adolescent Psychologist in New York, New York. Licensed in New York. Registered with an NPI since 2021.

Licensed in
NY
In the registry since
2021

Practice location Address checks out

411 W 114th St Fl 2
New York, NY 10025-1710
Phone: (212) 523-1067
Show map & directions

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

Specialties & licences

Clinical Child & Adolescent Psychologist (primary) Taxonomy 103TC2200X (NY)

Record details

NPI number1093480147
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 11, 2021
Last updated in NPPESAugust 11, 2021
Certification dateAugust 11, 2021

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