OrganizationActive
Supportive Psychological Services PC
NPI 1003184136 · Clinical Psychologist · New York, NY
Provider details
- NPI number
- 1003184136
- Entity type
- Organization
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Richard Bennett, President(212) 787-0874
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
255 W 88th St Apt 6b
New York, NY 10024-1717
Phone: (212) 787-0874
Fax: (866) 411-9117
Street-level locationGet directions
Mailing address
255 W 88th St Apt 6b
New York, NY 10024-1717
Registry dates
- Enumerated
- 2011-12-04
- Last updated
- 2015-03-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.