Provider Demographics
NPI:1720773914
Name:DOPPLER PSYCHOLOGY SERVICES PC
Entity type:Organization
Organization Name:DOPPLER PSYCHOLOGY SERVICES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:IRENE
Authorized Official - Middle Name:
Authorized Official - Last Name:TSAPELAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-450-1303
Mailing Address - Street 1:1973 77TH ST APT 2C
Mailing Address - Street 2:
Mailing Address - City:EAST ELMHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11370-1045
Mailing Address - Country:US
Mailing Address - Phone:718-450-1303
Mailing Address - Fax:
Practice Address - Street 1:1973 77TH ST APT 2C
Practice Address - Street 2:
Practice Address - City:EAST ELMHURST
Practice Address - State:NY
Practice Address - Zip Code:11370-1045
Practice Address - Country:US
Practice Address - Phone:718-450-1303
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-05
Last Update Date:2023-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health