Provider Demographics
NPI:1104604602
Name:NOBILE PSYCHOLOGY, PC
Entity type:Organization
Organization Name:NOBILE PSYCHOLOGY, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER/DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:NOBILE
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:516-527-0310
Mailing Address - Street 1:72 E MAIN ST STE 3
Mailing Address - Street 2:
Mailing Address - City:BABYLON
Mailing Address - State:NY
Mailing Address - Zip Code:11702-3526
Mailing Address - Country:US
Mailing Address - Phone:516-527-0310
Mailing Address - Fax:
Practice Address - Street 1:72 E MAIN ST STE 3
Practice Address - Street 2:
Practice Address - City:BABYLON
Practice Address - State:NY
Practice Address - Zip Code:11702-3526
Practice Address - Country:US
Practice Address - Phone:516-527-0310
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-18
Last Update Date:2023-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)