Psychological Services for Self and Family, PLLC
NPI 1417260571 · Psychologist · Fayetteville, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Psychological Services for Self and Family, PLLC is a Psychologist organization in Fayetteville, NY (NPI 1417260571).
Provider details
- NPI number
- 1417260571
- Entity type
- Organization
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Paul Cohen, Owner(315) 637-9131
- License
- 009823-1 (NY)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
Mailing address
Registry dates
- Enumerated
- 2010-07-19
- Last updated
- 2010-07-19
Frequently asked questions
- What is Psychological Services for Self and Family, PLLC's NPI number?
- Psychological Services for Self and Family, PLLC's National Provider Identifier (NPI) is 1417260571, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Psychological Services for Self and Family, PLLC?
- Psychological Services for Self and Family, PLLC is classified in the NPPES registry as Psychologist (Behavioral Health & Social Service Providers).
- Where is Psychological Services for Self and Family, PLLC located?
- Psychological Services for Self and Family, PLLC's practice location on file with NPPES is 523 E Genesee St, Fayetteville, NY 13066-1536.
- What is Psychological Services for Self and Family, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Psychological Services for Self and Family, PLLC is (315) 637-9131.
- Does Psychological Services for Self and Family, PLLC accept Medicare?
- Psychological Services for Self and Family, PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Psychological Services for Self and Family, PLLC?
- The authorized official listed on Psychological Services for Self and Family, PLLC's NPPES record is Paul Cohen, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Psychological Services for Self and Family, PLLC's NPI active?
- Yes — Psychological Services for Self and Family, PLLC's NPI (1417260571) is active in the NPPES registry as of the last update on 2010-07-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.