Provider Demographics
NPI:1649156670
Name:JUSTIN DISCALFANI, PH.D., PSYCHOLOGICAL SERVICES PLLC
Entity type:Organization
Organization Name:JUSTIN DISCALFANI, PH.D., PSYCHOLOGICAL SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JUSTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:DISCALFANI
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:631-335-3158
Mailing Address - Street 1:4 WINDMILL CT
Mailing Address - Street 2:
Mailing Address - City:SMITHTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:11787-2224
Mailing Address - Country:US
Mailing Address - Phone:631-335-3158
Mailing Address - Fax:
Practice Address - Street 1:307 E MAIN ST
Practice Address - Street 2:
Practice Address - City:SMITHTOWN
Practice Address - State:NY
Practice Address - Zip Code:11787-2829
Practice Address - Country:US
Practice Address - Phone:631-228-0000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-14
Last Update Date:2025-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency