Provider Demographics
NPI:1427794866
Name:RAKIPI PSYCHOLOGICAL SERVICES, PLLC
Entity type:Organization
Organization Name:RAKIPI PSYCHOLOGICAL SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:SEFEDIN
Authorized Official - Middle Name:
Authorized Official - Last Name:RAKIPI
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:718-313-6870
Mailing Address - Street 1:170 STATE ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11201-5616
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:170 STATE ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11201-5616
Practice Address - Country:US
Practice Address - Phone:718-313-6870
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-09
Last Update Date:2022-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty