Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Psychological Services for Self and Family, PLLC

Organization Psychologist · NPI 1417260571

Psychological Services for Self and Family, PLLC provides Psychologist services 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 Not confirmed with CMS for 16 years — call before visiting
Phone: (315) 637-9131
Fax: (315) 637-9151
Show map & directions

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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