Provider Demographics
NPI:1194766873
Name:MCCAFFREY PSYCHOLOGICAL PC
Entity type:Organization
Organization Name:MCCAFFREY PSYCHOLOGICAL PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:MCCAFFREY
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:518-464-5060
Mailing Address - Street 1:1740 WESTERN AVENUE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:GUILDERLAND
Mailing Address - State:NY
Mailing Address - Zip Code:12084-1522
Mailing Address - Country:US
Mailing Address - Phone:518-464-5060
Mailing Address - Fax:518-464-5023
Practice Address - Street 1:1740 WESTERN AVENUE
Practice Address - Street 2:SUITE 100
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12203-4414
Practice Address - Country:US
Practice Address - Phone:518-464-5060
Practice Address - Fax:518-464-5023
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-10
Last Update Date:2013-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103G00000XBehavioral Health & Social Service ProvidersClinical NeuropsychologistGroup - Single Specialty