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

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: August 16, 2026.

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
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

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 16

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

Counselor (Mental Health)
1111 BROADHOLLOW RD
FARMINGDALE, NY 11735
Social Worker
1111 BROADHOLLOW RD, STE 214
FARMINGDALE, NY 11735
Counselor
1111 BROADHOLLOW RD
FARMINGDALE, NY 11735
Social Worker (Clinical)
1111 BROADHOLLOW RD, SUITE 204
FARMINGDALE, NY 11735
Dentist
1111 BROADHOLLOW RD, SUITE 210
FARMINGDALE, NY 11735
Psychologist (Clinical)
1111 BROADHOLLOW RD, SUITE 204
FARMINGDALE, NY 11735
Podiatrist (Foot & Ankle Surgery)
1111 BROADHOLLOW RD
FARMINGDALE, NY 11735
Specialist
1111 BROADHOLLOW RD, SUITE 205
FARMINGDALE, NY 11735

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.

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 5 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.