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IMPACT PSYCHOLOGICAL SERVICES PLLC
NPI 1538837414
Community/Behavioral Health in Beacon, NY

Active since September 03, 2021
1183 NORTH AVE, BEACON, NY 12508(917) 300-1332 Get Directions Write a Review

NPPES record last updated: March 1, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 8, 2022, Sep 7, 2021 (2 updates tracked since 2021).

About Impact Psychological Services Pllc NPPES

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

IMPACT PSYCHOLOGICAL SERVICES PLLC (NPI 1538837414) is a healthcare organization registered as a community/behavioral health in Beacon, New York and active in the NPI registry since September 2021. The organization maintains a secondary practice location in Mamaroneck and lists Tracy A Prout, Co-owner/managing Member, as its authorized official.

NPPES Registry Identity

NPI1538837414
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameIMPACT PSYCHOLOGICAL SERVICES PLLC
Location Address1183 NORTH AVEBeacon, NY 12508-1700
Mailing Address1183 North AveBeacon, NY 12508-1700 · (917) 596-2958
Phone(917) 300-1332
Organization SubpartNo
Authorized OfficialTracy A ProutCo-owner/managing Member · (917) 596-2958
Enumeration DateSeptember 3, 2021
Last NPPES UpdateMarch 1, 20242 updates tracked since enumeration
NPPES CertifiedMarch 1, 2024
✔ NPI 1538837414 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
1183 NORTH AVE, Beacon, NY 12508
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Secondary Practice Location 1

Location 1408 Mamaroneck AveMamaroneck, NY 10543-2613 · Phone (917) 300-1332

Other Providers at the Same Location NPPES 2

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

EDWARD JAMES SCHNECKER LMSW
Social Worker
1183 NORTH AVE
BEACON, NY 12508
Dutchess County (917) 300-1332
HANNAH FORDIN LMSW
Social Worker
1183 NORTH AVE
BEACON, NY 12508
Dutchess County (917) 300-1332

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 Impact Psychological Services PLLC's NPI number?

The NPI number for Impact Psychological Services PLLC is 1538837414. It was assigned to this organization in the NPPES registry on September 3, 2021.

Where is Impact Psychological Services PLLC located?

Impact Psychological Services PLLC is located at 1183 North Ave, Beacon, NY 12508. The listed phone number is (917) 300-1332.

What is Impact Psychological Services PLLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Impact Psychological Services PLLC was last updated on March 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.