Provider Demographics
NPI:1679279905
Name:CLEAR INTENTIONS PSYCHOLOGICAL SERVICES, P.C.
Entity type:Organization
Organization Name:CLEAR INTENTIONS PSYCHOLOGICAL SERVICES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LINDSAY
Authorized Official - Middle Name:JANE
Authorized Official - Last Name:KARABELAS
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:646-387-3859
Mailing Address - Street 1:45 ROGERS PL
Mailing Address - Street 2:
Mailing Address - City:FLORAL PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11001-1727
Mailing Address - Country:US
Mailing Address - Phone:646-387-3859
Mailing Address - Fax:
Practice Address - Street 1:45 ROGERS PL
Practice Address - Street 2:
Practice Address - City:FLORAL PARK
Practice Address - State:NY
Practice Address - Zip Code:11001-1727
Practice Address - Country:US
Practice Address - Phone:646-387-3859
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-07
Last Update Date:2023-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY04269509Medicaid