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

Stillwater Psychological and Occupational Therapy Assoc PLLC

Organization Clinical Psychologist · NPI 1982666822

Stillwater Psychological and Occupational Therapy Assoc PLLC provides Clinical Psychologist services 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

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