# NORTH COAST PSYCHOLOGICAL SERVICES, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588170971
- **Authorized official:** CAROLYN WALDECKER PSY.D. (CO-OWNER/DIRECTOR)
- **Authorized official phone:** (516) 780-0111

## Contact information

- **Practice address:** 6851 JERICHO TPKE STE 125, SYOSSET, NY 11791-4454
- **Practice address phone:** (516) 780-0111
- **Mailing address:** 6851 JERICHO TPKE STE 125, SYOSSET, NY 11791-4454

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TB0200X | Cognitive & Behavioral Psychologist | 022047 | NY | — |
| 103TC2200X | Clinical Child & Adolescent Psychologist | 019641 | NY | Yes |

## Other

- **Enumeration date:** 12/20/2017
- **Last updated:** 02/23/2026