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

Individual provider Clinical Psychologist · NPI 1619150299

Dr. Joseph Coppolo Jr., PSYD is a Clinical Psychologist in Staten Island, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2007
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

3 William Ave
Staten Island, NY 10308-3142
Phone: (718) 667-3790
Fax: (718) 667-3790
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 010359 (NY)

Record details

NPI number1619150299
Entity typeIndividual (Type 1)
GenderMale
Credentials PSYD
Sole proprietorYes
NPI enumeratedDecember 6, 2007
Last updated in NPPESDecember 6, 2007

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