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NEW YORK STATE NEUROPSYCHOLOGICAL STATE OF MIND PC
NPI 1013414705
Clinical Neuropsychologist in Kew Gardens, NY

Active since April 09, 2018
8460 123RD ST, KEW GARDENS, NY 11415(718) 441-0166(718) 805-2054 Get Directions Write a Review

NPPES record last updated: April 9, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About New York State Neuropsychological State Of Mind Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NEW YORK STATE NEUROPSYCHOLOGICAL STATE OF MIND PC (NPI 1013414705) is a healthcare organization registered as a clinical neuropsychologist in Kew Gardens, New York and active in the NPI registry since April 2018. The organization lists Sanam Hafeez, Psy.d, as its authorized official.

NPPES Registry Identity

NPI1013414705
Entity TypeOrganization
Primary Taxonomy103G00000X
Legal Business NameNEW YORK STATE NEUROPSYCHOLOGICAL STATE OF MIND PC
Location Address8460 123RD STKew Gardens, NY 11415-3305
Mailing Address8460 123rd StKew Gardens, NY 11415-3305 · (718) 441-0166 · Fax (718) 805-2054
Phone(718) 441-0166
Fax(718) 805-2054
Organization SubpartNo
Authorized OfficialSanam HafeezPsy.d · (718) 441-0166
Enumeration DateApril 9, 2018
✔ NPI 1013414705 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
License✔ Licensed in NY · 016117
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
8460 123RD ST, Kew Gardens, NY 11415
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Other Identifiers 1

Medicaid02936607NY

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COMPREHENSIVE CONSULTATION SERVICES
Community/Behavioral Health
8460 123RD ST
KEW GARDENS, NY 11415
Queens County (718) 441-0166
AGNES SELINGER MA
Counselor
8460 123RD ST
KEW GARDENS, NY 11415
Queens County (718) 441-0166
DR. SANAM HAFEEZ PSY.D
Clinical Neuropsychologist
8460 123RD ST
KEW GARDENS, NY 11415
Queens County (718) 441-0166

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is New York State Neuropsychological State Of Mind PC's NPI number?

The NPI number for New York State Neuropsychological State Of Mind PC is 1013414705. It was assigned to this organization in the NPPES registry on April 9, 2018.

Where is New York State Neuropsychological State Of Mind PC located?

New York State Neuropsychological State Of Mind PC is located at 8460 123rd St, Kew Gardens, NY 11415. The listed phone number is (718) 441-0166.

What is New York State Neuropsychological State Of Mind PC's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

When was this NPI record last updated?

The NPPES record for New York State Neuropsychological State Of Mind PC was last updated on April 9, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.