ROBERT B. DEVINNEY, PH.D. PSYCHOLOGIST PC
NPI 1114049871
Clinical Neuropsychologist in Patchogue, NY

Active since April 04, 2007
105 MEDFORD AVE, PATCHOGUE, NY 11772(631) 987-3780(631) 204-0069 Get Directions Write a Review

NPPES record last updated: April 27, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Clinical Neuropsychologist

About ROBERT B. DEVINNEY, PH.D. PSYCHOLOGIST PC

This page provides the complete NPI Profile along with additional information for Robert B. Devinney, Ph.d. Psychologist Pc, a provider established in Patchogue, New York operating as a Clinical Neuropsychologist. The healthcare provider is registered in the NPI registry with number 1114049871 assigned on April 2007. The practitioner's primary taxonomy code is 103G00000X with license number 012661 (NY). The provider is registered as an organization and their NPI record was last updated 15 years ago. Robert B. Devinney, Ph.d. Psychologist Pc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Dr. Robert B. Devinney Ph.d. (President)

NPI
1114049871 Verify this NPI
Provider Name
ROBERT B. DEVINNEY, PH.D. PSYCHOLOGIST PC
Entity Type
Organization
Location Address
105 MEDFORD AVE PATCHOGUE, NY 11772
Location Phone
(631) 987-3780
Location Fax
(631) 204-0069
Mailing Address
40 HIGH ST SOUTHAMPTON, NY 11968
Mailing Phone
(631) 987-3780
Mailing Fax
(845) 340-7314
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-04-2007
Last Update Date
04-27-2011
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinical Neuropsychologist

Taxonomy Code
103G00000X
Type
Behavioral Health & Social Service Providers
License No.
012661
License State
NY
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1103TA0400XBehavioral Health & Social Service Providers

Psychologist
Addiction (Substance Use Disorder)

012661 (NY)
2103TA0700XBehavioral Health & Social Service Providers

Psychologist
Adult Development & Aging

012661 (NY)
3103TC0700XBehavioral Health & Social Service Providers

Psychologist
Clinical

012661 (NY)
4103TR0400XBehavioral Health & Social Service Providers

Psychologist
Rehabilitation

012661 (NY)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. ROBERT B. DEVINNEY PH.D.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(631) 987-3780

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Other Providers at the Same Location


The following 8 providers are registered at the same or a nearby location.

Clinical Neuropsychologist
105 MEDFORD AVE
PATCHOGUE, NY 11772
Physical Therapist
105 MEDFORD AVE
PATCHOGUE, NY 11772
Chiropractor
105 MEDFORD AVE
PATCHOGUE, NY 11772
Chiropractor
105 MEDFORD AVE
PATCHOGUE, NY 11772
Chiropractor
105 MEDFORD AVE
PATCHOGUE, NY 11772
Physical Therapist
105 MEDFORD AVE
PATCHOGUE, NY 11772
Family Medicine
105 MEDFORD AVE
PATCHOGUE, NY 11772
Physician Assistant
105 MEDFORD AVE
PATCHOGUE, NY 11772

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114049871, enumerated as an "organization" on April 04, 2007.

The provider is located at 105 MEDFORD AVE PATCHOGUE, NY 11772 and the phone number is (631) 987-3780.

Clinical Neuropsychologist with taxonomy code 103G00000X.