Provider Demographics
NPI:1720965486
Name:SOUTH BROOKLYN PSYCHOLOGICAL SERVICES PLLC
Entity type:Organization
Organization Name:SOUTH BROOKLYN PSYCHOLOGICAL SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DOUGLAS
Authorized Official - Middle Name:
Authorized Official - Last Name:UHLIG
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:917-617-6731
Mailing Address - Street 1:6766 108TH ST APT D27
Mailing Address - Street 2:
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-2906
Mailing Address - Country:US
Mailing Address - Phone:917-617-6731
Mailing Address - Fax:917-617-6731
Practice Address - Street 1:1517 VOORHIES AVE STE 2
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-3971
Practice Address - Country:US
Practice Address - Phone:917-617-6731
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-16
Last Update Date:2025-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty