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

Supportive Psychological Services PC

Organization Clinical Psychologist · NPI 1003184136

Supportive Psychological Services PC provides Clinical Psychologist services in New York, New York. Licensed in New York. Registered with an NPI since 2011.

Licensed in
NY
In the registry since
2011
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

255 W 88th St Apt 6B
New York, NY 10024-1717 Not confirmed with CMS for 11 years — call before visiting
Phone: (212) 787-0874
Fax: (866) 411-9117
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X (NY)

Record details

NPI number1003184136
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Richard Bennett — President · (212) 787-0874
NPI enumeratedDecember 4, 2011
Last updated in NPPESMarch 9, 2015
Mailing address255 W 88th St Apt 6b, New York, NY 10024-1717

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