PEDIATRIC PSYCHOLOGY OF NEW YORK, PLLC
NPI 1386910347
Psychologist - Clinical in Maspeth, NY

Q: What is Pediatric Psychology Of New York, PLLC's specialty?

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

Active since March 23, 2012

6083 71ST ST, MASPETH, NY 11378(888) 342-6002(347) 344-6594 Get Directions Write a Review

NPPES record last updated: March 23, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Pediatric Psychology Of New York, Pllc NPPES

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

PEDIATRIC PSYCHOLOGY OF NEW YORK, PLLC (NPI 1386910347) is a healthcare organization registered as a clinical in Maspeth, New York and active in the NPI registry since March 2012. The organization lists Mark Vincent Grudberg, Member, as its authorized official.

NPPES Registry Identity

NPI1386910347

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NamePEDIATRIC PSYCHOLOGY OF NEW YORK, PLLC

Location Address6083 71ST STMaspeth, NY 11378-2913

Mailing AddressPo Box 604434Bayside, NY 11360-4434 · (888) 342-6002 · Fax (347) 344-6594

Phone(888) 342-6002

Fax(347) 344-6594

Organization SubpartNo

Authorized OfficialMark Vincent GrudbergMember · (888) 342-6002

Enumeration DateMarch 23, 2012

✔ NPI 1386910347 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 · 018098

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.

6083 71ST ST, Maspeth, NY 11378

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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

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.

JOSEPH S SAVITT M.D.

Pediatrics

6083 71ST ST
MASPETH, NY 11378

Queens County (718) 446-7562

NANCY CHIANG, MD

Clinic/Center (Primary Care)

6083 71ST ST
MASPETH, NY 11378

Queens County (718) 446-7562

DR. MARK VINCENT GRUDBERG PH.D.

Psychologist (Clinical)

6083 71ST ST
MASPETH, NY 11378

Queens County (888) 342-6002

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 Pediatric Psychology Of New York, PLLC's NPI number?

The NPI number for Pediatric Psychology Of New York, PLLC is 1386910347. It was assigned to this organization in the NPPES registry on March 23, 2012.

Where is Pediatric Psychology Of New York, PLLC located?

Pediatric Psychology Of New York, PLLC is located at 6083 71st St, Maspeth, NY 11378. The listed phone number is (888) 342-6002.

What is Pediatric Psychology Of New York, PLLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Pediatric Psychology Of New York, PLLC was last updated on March 23, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.