STILLWATER PSYCHOLOGICAL AND OCCUPATIONAL THERAPY ASSOC PLLC
NPI 1982666822
Psychologist - Clinical in Bay Shore, NY

Q: What is Stillwater Psychological And Occupational Therapy Assoc PLLC's specialty?

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

Active since April 05, 2006

1840 UNION BLVD, BAY SHORE, NY 11706(631) 647-7885(631) 647-7893 Get Directions Write a Review

NPPES record last updated: June 22, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Stillwater Psychological And Occupational Therapy Assoc Pllc NPPES

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

STILLWATER PSYCHOLOGICAL AND OCCUPATIONAL THERAPY ASSOC PLLC (NPI 1982666822) is a healthcare organization registered as a clinical in Bay Shore, New York and active in the NPI registry since April 2006. The organization lists Shafer Zyzman, Ceo, as its authorized official.

NPPES Registry Identity

NPI1982666822

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameSTILLWATER PSYCHOLOGICAL AND OCCUPATIONAL THERAPY ASSOC PLLC

Location Address1840 UNION BLVDBay Shore, NY 11706-7932

Mailing Address1840 Union BlvdBay Shore, NY 11706-7932 · (631) 647-7885 · Fax (631) 647-7893

Phone(631) 647-7885

Fax(631) 647-7893

Organization SubpartNo

Authorized OfficialShafer ZyzmanCeo · (631) 647-7885

Enumeration DateApril 5, 2006

Last NPPES UpdateJune 22, 2019

✔ NPI 1982666822 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in NY · 011241

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.

Also ListedSocial WorkerTaxonomy 104100000X · License 025669 (NY)

Also ListedOccupational TherapistTaxonomy 225X00000X · License 009040 (NY)

1840 UNION BLVD, Bay Shore, NY 11706

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Other Identifiers 1

Medicaid02678068NY

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 7

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

STILLWATER THERAPY LCSW P.C.

Social Worker (Clinical)