Provider Demographics
NPI:1154338242
Name:PSYCHOLOGICAL CONSULTATION AND THERAPY SERVICES, PLLC
Entity type:Organization
Organization Name:PSYCHOLOGICAL CONSULTATION AND THERAPY SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:J
Authorized Official - Last Name:GUNSER
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:914-965-1179
Mailing Address - Street 1:1250 CENTRAL PARK AVE # 2
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10704-1044
Mailing Address - Country:US
Mailing Address - Phone:914-965-1179
Mailing Address - Fax:914-965-1859
Practice Address - Street 1:1250 CENTRAL PARK AVE # 2
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10704-1044
Practice Address - Country:US
Practice Address - Phone:914-965-1179
Practice Address - Fax:914-965-1859
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-02
Last Update Date:2018-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY009187103TC0700X
103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1154338242OtherGROUP NPI
NY1598766628OtherPERSONAL NPI
NYW36361OtherPCAN
NYW36361OtherPCAN
NYV30501Medicare ID - Type Unspecified