# PARK CENTRAL PSYCHOLOGY, PLLC

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

## Provider details

- **NPI number:** 1841094687
- **Authorized official:** DR. JEROME H KOGAN PSYD (MANAGER)
- **Authorized official phone:** (914) 473-9615

## Contact information

- **Practice address:** 7 CLIFF WAY, LARCHMONT, NY 10538-2505
- **Practice address phone:** (914) 539-7661
- **Mailing address:** 7 CLIFF WAY, LARCHMONT, NY 10538-2505
- **Mailing address phone:** (914) 473-9615

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TC0700X | Clinical Psychologist | — | NULL | Yes |
| 103TC0700X | Clinical Psychologist | — | — | Yes |
| 103TC2200X | Clinical Child & Adolescent Psychologist | — | NULL | — |
| 103TC2200X | Clinical Child & Adolescent Psychologist | — | — | — |

## Other

- **Enumeration date:** 04/02/2025
- **Last updated:** 04/02/2025