Theresa Mignone-Klostermann, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

017933 Issued in NY

Practice address

4511 Harlem Rd
Amherst, NY 14226-3803

Phone

(716) 864-6659

Fax

(716) 636-3635

NPI assigned

Jan 25, 2009

Last updated

Jan 25, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1232841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232841600000",
    "number": "1073751335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "342 GREENGAGE CIR",
            "city": "EAST AMHERST",
            "state": "NY",
            "postal_code": "140512129",
            "telephone_number": "716-864-6659",
            "fax_number": "716-636-3635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4511 HARLEM RD",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142263803",
            "telephone_number": "716-864-6659",
            "fax_number": "716-636-3635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIGNONE-KLOSTERMANN",
        "first_name": "THERESA",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-25",
        "last_updated": "2009-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "017933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Muto DC, P.C.
• Michele Walker Speech-Language Pathology LLC
• Michelle Atallah LCSW, P.C.
• Lisa D Michels, LPN
• Patricia A. Migaj, MS,OTR/L
• Ryan James Mikac, D.O.
• Aleah Marie Milks, MA, CCC-SLP
• Natalie Miller-Kovachik, RPA
• Abbey Miller, PA
• Alyssa Dawn Miller, PHARMD

• Psychologist in Amherst, NY
• Providers in Amherst, NY by specialty
• Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2009; 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.