FIRST LIGHT PSYCHOLOGICAL SERVICES, P.L.L.C.
NPI 1922166628
Psychologist - Clinical in Farmingdale, NY

Q: What is First Light Psychological Services, P.L.L.C.'s specialty?

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

Active since December 05, 2006

1111 BROADHOLLOW RD, SUITE 204, FARMINGDALE, NY 11735(631) 414-7181(631) 414-7178 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About First Light Psychological Services, P.l.l.c. NPPES

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

FIRST LIGHT PSYCHOLOGICAL SERVICES, P.L.L.C. (NPI 1922166628) is a healthcare organization registered as a clinical in Farmingdale, New York and active in the NPI registry since December 2006. The organization lists Theresa Irene Desantis, President, as its authorized official.

NPPES Registry Identity

NPI1922166628

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameFIRST LIGHT PSYCHOLOGICAL SERVICES, P.L.L.C.

Location Address1111 BROADHOLLOW RD, SUITE 204Farmingdale, NY 11735-4820

Mailing Address32 Sally LnPlainview, NY 11803-1434 · (516) 637-0689 · Fax (631) 414-7178

Phone(631) 414-7181

Fax(631) 414-7178

Organization SubpartNo

Authorized OfficialTheresa Irene DesantisPresident · (631) 414-7181

Enumeration DateDecember 5, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1922166628 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 · 68-60276

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.

1111 BROADHOLLOW RD, Farmingdale, NY 11735

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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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

First Light Psychological Services, P.l.l.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 First Light Psychological Services, P.L.L.C., which bills Medicare for the services this clinician delivers.

Clinician (1)

Theresa Desantis, PH.D.

Clinical Psychologist

NPI 1194883884

1111 BROADHOLLOW RD SUITE 204
Farmingdale, NY 11735

(631) 414-7181

✔ PECOS✔ Accepts MedicareSame address

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 First Light Psychological Services, P.L.L.C.'s NPI number?

The NPI number for First Light Psychological Services, P.L.L.C. is 1922166628. It was assigned to this organization in the NPPES registry on December 5, 2006.

Where is First Light Psychological Services, P.L.L.C. located?

First Light Psychological Services, P.L.L.C. is located at 1111 Broadhollow Rd Suite 204, Farmingdale, NY 11735. The listed phone number is (631) 414-7181.

What is First Light Psychological Services, P.L.L.C.'s specialty?

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

Is First Light Psychological Services, P.L.L.C. enrolled in Medicare?

Yes. First Light Psychological Services, P.L.L.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through First Light Psychological Services, P.L.L.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to First Light Psychological Services, P.L.L.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 First Light Psychological Services, P.L.L.C. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.