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BEACON PSYCHOLOGICAL SERVICES, PLLC

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Company Details

Name: BEACON PSYCHOLOGICAL SERVICES, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 06 May 2014 (11 years ago)
Entity Number: 4572570
ZIP code: 13216
County: Oswego
Place of Formation: New York
Address: 317 W. FIRST STREET, OSWEGO, NY, United States, 13216

DOS Process Agent

Name Role Address
C/O KATHERINE DASKALAKIS DOS Process Agent 317 W. FIRST STREET, OSWEGO, NY, United States, 13216

National Provider Identifier

NPI Number:
1306246376

Authorized Person:

Name:
DR. SCOTT PEALE MOONEY
Role:
PSYCHOLOGIST
Phone:

Taxonomy:

Selected Taxonomy:
101Y00000X - Counselor
Is Primary:
No
Selected Taxonomy:
101YA0400X - Addiction (Substance Use Disorder) Counselor
Is Primary:
No
Selected Taxonomy:
1041C0700X - Clinical Social Worker
Is Primary:
No
Selected Taxonomy:
363LP0808X - Psychiatric/Mental Health Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
103TC0700X - Clinical Psychologist
Is Primary:
Yes

Contacts:

Fax:
3153432915

Filings

Filing Number Date Filed Type Effective Date
140710000221 2014-07-10 CERTIFICATE OF PUBLICATION 2014-07-10
140506000166 2014-05-06 ARTICLES OF ORGANIZATION 2014-05-06

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Date of last update: 25 Mar 2025

Sources: New York Secretary of State