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NORTH COAST PSYCHOLOGICAL SERVICES, PLLC
NPI 1588170971
Psychologist - Clinical Child & Adolescent in Syosset, NY

Active since December 20, 2017
6851 JERICHO TPKE STE 125, SYOSSET, NY 11791(516) 780-0111 Get Directions Write a Review

NPPES record last updated: February 23, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Nov 29, 2021, Dec 20, 2017 (2 updates tracked since 2017).

About North Coast Psychological Services, Pllc NPPES

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

NORTH COAST PSYCHOLOGICAL SERVICES, PLLC (NPI 1588170971) is a healthcare organization registered as a clinical child & adolescent in Syosset, New York and active in the NPI registry since December 2017. The organization lists Carolyn Waldecker, Co-owner/director, as its authorized official.

NPPES Registry Identity

NPI1588170971
Entity TypeOrganization
Primary Taxonomy103TC2200X
Legal Business NameNORTH COAST PSYCHOLOGICAL SERVICES, PLLC
Location Address6851 JERICHO TPKE STE 125Syosset, NY 11791-4454
Mailing Address6851 Jericho Tpke Ste 125Syosset, NY 11791-4454
Phone(516) 780-0111
Organization SubpartNo
Authorized OfficialCarolyn WaldeckerCo-owner/director · (516) 780-0111
Enumeration DateDecember 20, 2017
Last NPPES UpdateFebruary 23, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 23, 2026
✔ NPI 1588170971 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers
Taxonomy Code103TC2200X
License✔ Licensed in NY · 019641
Definition
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.
Also ListedPsychologist · Cognitive & BehavioralTaxonomy 103TB0200X · License 022047 (NY)
6851 JERICHO TPKE STE 125, Syosset, NY 11791
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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 4

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

OLIVIA ANNE WALSH PSYD
Psychologist (Clinical)
6851 JERICHO TPKE STE 125
SYOSSET, NY 11791
Nassau County (516) 780-0111
JEREMY JACOB
Student in an Organized Health Care Education/Training Program
6851 JERICHO TPKE STE 125
SYOSSET, NY 11791
Nassau County (516) 780-0111
JULIANA SIKORSKI
Student in an Organized Health Care Education/Training Program
6851 JERICHO TPKE STE 125
SYOSSET, NY 11791
Nassau County (516) 780-0111
DR. IZABELA KONOPKO PSYD
Psychologist
6851 JERICHO TPKE STE 125
SYOSSET, NY 11791
Nassau County (516) 780-0111

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 North Coast Psychological Services, PLLC's NPI number?

The NPI number for North Coast Psychological Services, PLLC is 1588170971. It was assigned to this organization in the NPPES registry on December 20, 2017.

Where is North Coast Psychological Services, PLLC located?

North Coast Psychological Services, PLLC is located at 6851 Jericho Tpke Ste 125, Syosset, NY 11791. The listed phone number is (516) 780-0111.

What is North Coast Psychological Services, PLLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

When was this NPI record last updated?

The NPPES record for North Coast Psychological Services, PLLC was last updated on February 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.