| Cognitive-behavioral Psychology Services Of Long Island Pllc | |
|
2171 Jericho Tpke Ste 250 Commack NY 11725-2947 | |
| (516) 558-7490 | |
| (877) 205-6740 |
| Full Name | Cognitive-behavioral Psychology Services Of Long Island Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 2171 Jericho Tpke Ste 250, Commack, New York |
| Authorized Official Name and Position | Michael B Eberlin (PSYCHOLOGIST/OWNER) |
| Authorized Official Contact | 6316706621 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cognitive-behavioral Psychology Services Of Long Island Pllc 2171 Jericho Tpke Ste 250 Commack NY 11725-2947 Ph: (516) 558-7490 | Cognitive-behavioral Psychology Services Of Long Island Pllc 2171 Jericho Tpke Ste 250 Commack NY 11725-2947 Ph: (516) 558-7490 |
| NPI Number | 1144523952 |
|---|---|
| Provider Enumeration Date | 12/16/2010 |
| Last Update Date | 10/28/2025 |
| Certification Date | 10/28/2025 |
| Medicare PECOS PAC ID | 1052571114 |
|---|---|
| Medicare Enrollment ID | O20120327000636 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144523952 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TB0200X | Psychologist - Cognitive & Behavioral | 009143-1 (New York) | Primary |
| Provider Name | Jonathan W Grossman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578528667 PECOS PAC ID: 7113026550 Enrollment ID: I20070626000301 |
| Provider Name | Michael B Eberlin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1588648919 PECOS PAC ID: 3375621667 Enrollment ID: I20080428000435 |
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