VICTORY BEHAVIORAL HEALTH INC
NPI 1881601466
Psychologist - Clinical Child & Adolescent in Staten Island, NY

Active since August 03, 2006
2291 VICTORY BOULEVARD, STATEN ISLAND, NY 10314(718) 477-0228(718) 477-0228 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Victory Behavioral Health Inc NPPES

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

VICTORY BEHAVIORAL HEALTH INC (NPI 1881601466), doing business as Cardio Behavioral Health The Attention Deficit Worshop, is a healthcare organization registered as a clinical child & adolescent in Staten Island, New York and active in the NPI registry since August 2006. The organization lists Stephen J Wakschal, Pres Ceo, as its authorized official.

NPPES Registry Identity

NPI1881601466
Entity TypeOrganization
Primary Taxonomy103TC2200X
Legal Business NameVICTORY BEHAVIORAL HEALTH INC
Location Address2291 VICTORY BOULEVARDStaten Island, NY 10314
Mailing Address2291 Victory BoulevardStaten Island, NY 10314 · (718) 477-0228 · Fax (718) 477-0228
Fax(718) 477-0228
Organization SubpartNo
Authorized OfficialStephen J WakschalPres Ceo · (718) 477-0228
Enumeration DateAugust 3, 2006
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
✔ NPI 1881601466 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers
Taxonomy Code103TC2200X
License✔ Licensed in NY · 16089
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 ListedPsychologistTaxonomy 103T00000X · License 16089 (NY)
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 16089 (NY)

Other Names 1

Doing Business AsCardio Behavioral Health The Attention Deficit Worshop

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Victory Behavioral Health Inc 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 Victory Behavioral Health Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Psychologist
NPI 1033265806
2291 VICTORY BLVD
Staten Island, NY 10314
(718) 477-0228
✔ PECOS✔ Accepts Medicare

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 Victory Behavioral Health Inc's NPI number?

The NPI number for Victory Behavioral Health Inc is 1881601466. It was assigned to this organization in the NPPES registry on August 3, 2006. The provider is doing business as Cardio Behavioral Health The Attention Deficit Worshop.

Where is Victory Behavioral Health Inc located?

Victory Behavioral Health Inc is located at 2291 Victory Boulevard, Staten Island, NY 10314. The listed phone number is (718) 477-0228.

What is Victory Behavioral Health Inc's specialty?

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

Is Victory Behavioral Health Inc enrolled in Medicare?

Yes. Victory Behavioral Health Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Victory Behavioral Health Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Victory Behavioral Health Inc. 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 Victory Behavioral Health Inc was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.