Individual provider · Type 1 NPI

Jimmy K. Master, PSYD

Clinical Psychologist · Stony Brook, NY

NPI number 1164079802 Active

Practice location

100 Nicolls Rd
Stony Brook, NY 11794-0001

Call (631) 632-9510 Map

Fax (631) 632-5870

Mailing address

PO Box 1554
Stony Brook, NY 11790-0988

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700XP13072 (NY)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1164079802

Jimmy K. Master, PSYD's National Provider Identifier is 1164079802, issued on Aug 19, 2019. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Stony Brook, NY. The record was last updated on Aug 19, 2019.