Provider Demographics
NPI:1124351853
Name:PSCH, INC.
Entity type:Organization
Organization Name:PSCH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:HAL
Authorized Official - Middle Name:
Authorized Official - Last Name:WENIG
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:718-559-0516
Mailing Address - Street 1:2818 STEINWAY ST
Mailing Address - Street 2:SUITE 302
Mailing Address - City:ASTORIA
Mailing Address - State:NY
Mailing Address - Zip Code:11103-3343
Mailing Address - Country:US
Mailing Address - Phone:718-278-3809
Mailing Address - Fax:718-278-3854
Practice Address - Street 1:2818 STEINWAY ST
Practice Address - Street 2:SUITE 302
Practice Address - City:ASTORIA
Practice Address - State:NY
Practice Address - Zip Code:11103-3343
Practice Address - Country:US
Practice Address - Phone:718-278-3809
Practice Address - Fax:718-278-3854
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-14
Last Update Date:2009-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY004286251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health