Athena Anne Drewes, PSYD

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

011945 Issued in NY

Practice address

390 Crystal Run Rd
Suite 107
Middletown, NY 10941-4050

Phone

(845) 673-4260

NPI assigned

Jan 2, 2014

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1388620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388620800000",
    "number": "1083035455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 CRYSTAL RUN RD",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109414050",
            "telephone_number": "845-673-4260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 CRYSTAL RUN RD",
            "address_2": "SUITE 107",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109414050",
            "telephone_number": "845-673-4260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DREWES",
        "first_name": "ATHENA",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-02",
        "last_updated": "2014-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NY",
            "license": "011945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dr. Miller Pediatrics
• Dianna Dragatsi, MD
• Erica Alexes Dratte, LMSW
• Rebecca Drayton-O'Brien, LCSW
• Deborah Drejza, RN
• Robert Dennis Driscoll, LCSW
• Mark S Driver, MD
• Matthew Dros, MD
• Richard Druce, D.D.S.
• Jinlin Du, MD, FAAAAI, FACAAI

• Clinical Child & Adolescent Psychologist in Middletown, NY
• Providers in Middletown, NY by specialty
• Clinical Child & Adolescent Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2014; 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.