IndividualActive
Svyatoslav Bakis, LCSW
NPI 1710107735 · Adult Development & Aging Psychologist · Brooklyn, NY
Provider details
- NPI number
- 1710107735
- Entity type
- Individual
- Primary specialty
- Adult Development & Aging PsychologistBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Male
- Sole proprietor
- Yes
- License
- 052698-1 (NY)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
745 64th St
Brooklyn, NY 11220-4753
Phone: (718) 283-1913
Fax: (718) 635-6745
Approximate (ZIP-level) locationGet directions
Mailing address
355 Mallory Ave
Staten Island, NY 10305-4200
Registry dates
- Enumerated
- 2007-05-01
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.