Individual provider Active NPI

Nicole Alexakis, M.S.

  • School Psychologist
  • Brooklyn, NY
National Provider Identifier
1043527344
Registry record updated Sep 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
1694932 Issued in NY
Practice address
1845 82ND St
Apt A5
Brooklyn, NY 11214-2263
Phone
(347) 713-3790
NPI assigned
Sep 8, 2010
Last updated
Sep 8, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X 1694932 NY Primary

Addresses

Primary practice location

1845 82ND St
Apt A5
Brooklyn, NY 11214-2263

Mailing address

1845 82ND St
Apt A5
Brooklyn, NY 11214-2263
Phone (347) 713-3790

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
1694932NYMDSchool Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1283904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283904000000",
    "number": "1043527344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1845 82ND ST",
            "address_2": "APT A5",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112142263",
            "telephone_number": "347-713-3790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1845 82ND ST",
            "address_2": "APT A5",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112142263",
            "telephone_number": "347-713-3790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEXAKIS",
        "first_name": "NICOLE",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-08",
        "last_updated": "2010-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "NY",
            "license": "1694932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2010; 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.