PHOENIX PSYCHOLOGICAL SERVICES, P.C.
NPI 1346763752
Psychologist - Clinical in New York, NY

Q: What is Phoenix Psychological Services, P.C.'s NPI number?

The NPI number for Phoenix Psychological Services, P.C. is 1346763752. It was assigned to this organization in the NPPES registry on July 18, 2017.

Q: What is Phoenix Psychological Services, P.C.'s specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Active since July 18, 2017

1865 AMSTERDAM AVE, NEW YORK, NY 10031(323) 497-0980 Get Directions Write a Review

NPPES record last updated: July 18, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Phoenix Psychological Services, P.c. NPPES

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

PHOENIX PSYCHOLOGICAL SERVICES, P.C. (NPI 1346763752) is a healthcare organization registered as a clinical in New York, New York and active in the NPI registry since July 2017. The organization lists Brickell Quarles, Owner, as its authorized official.

NPPES Registry Identity

NPI1346763752

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NamePHOENIX PSYCHOLOGICAL SERVICES, P.C.

Location Address1865 AMSTERDAM AVENew York, NY 10031-1716

Mailing Address725 River Rd Ste 32-110Edgewater, NJ 07020-1171 · (323) 497-0980

Phone(323) 497-0980

Organization SubpartNo

Authorized OfficialBrickell QuarlesOwner · (323) 497-0980

Enumeration DateJuly 18, 2017

✔ NPI 1346763752 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in NY · 016368

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

1865 AMSTERDAM AVE, New York, NY 10031

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Other Identifiers 1

Medicaid02898915NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Phoenix Psychological Services, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Phoenix Psychological Services, P.C., which bills Medicare for the services this clinician delivers.

Clinician (1)

Brickell Quarles, PH.D.

Clinical Psychologist

NPI 1801092770

7005 35TH AVE
Jackson Heights, NY 11372

(718) 662-5100

✔ PECOS✔ Accepts Medicare6.0 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Phoenix Psychological Services, P.C.'s NPI number?

The NPI number for Phoenix Psychological Services, P.C. is 1346763752. It was assigned to this organization in the NPPES registry on July 18, 2017.

Where is Phoenix Psychological Services, P.C. located?

Phoenix Psychological Services, P.C. is located at 1865 Amsterdam Ave, New York, NY 10031. The listed phone number is (323) 497-0980.

What is Phoenix Psychological Services, P.C.'s specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Phoenix Psychological Services, P.C. enrolled in Medicare?

Yes. Phoenix Psychological Services, P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Phoenix Psychological Services, P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Phoenix Psychological Services, P.C.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Phoenix Psychological Services, P.C. was last updated on July 18, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.