NPIMap

Organization Active NPI

Village Psychology Group, PLLC

  • Clinical Psychologist
  • Buffalo, NY
National Provider Identifier
1003509449
Registry record updated May 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
VILLAGE PSYCHOLOGY GROUP, PLLC
Practice address
2969 Main St Ste 400
Buffalo, NY 14214-1066
Phone
(716) 341-4740
NPI assigned
May 31, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kimberly Kamper Demarco, PHD
Title
Psychologist
Phone
(716) 341-4740

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

2969 Main St Ste 400
Buffalo, NY 14214-1066

Mailing address

2969 Main St Ste 400
Buffalo, NY 14214-1066
Phone (716) 341-4740

National Provider Directory

National Provider Directory

Locations

2969 Main St
Ste 400
Buffalo, NY 14214
Phone (716) 341-4733

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1685491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685491200000",
    "number": "1003509449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2969 MAIN ST STE 400",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142141066",
            "telephone_number": "716-341-4740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2969 MAIN ST STE 400",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142141066",
            "telephone_number": "716-341-4740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE PSYCHOLOGY GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-31",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A",
        "authorized_official_last_name": "DEMARCO",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "KAMPER",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "716-341-4740",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.