Individual provider Active NPI

Frank M Sturniolo Jr., PH.D.

  • Clinical Psychologist
  • Buffalo, NY
National Provider Identifier
1083635114
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
008677-1 Issued in NY
Practice address
796 Niagara Falls Blvd
Buffalo, NY 14223-1838
Phone
(716) 832-1434
Fax
(716) 332-9237
NPI assigned
Jul 22, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 008677-1 NY Primary

Addresses

Primary practice location

796 Niagara Falls Blvd
Buffalo, NY 14223-1838

Mailing address

796 Niagara Falls Blvd
Buffalo, NY 14223-1838
Phone (716) 832-1434

Other identifiers 1

IdentifierTypeStateIssuer
00941415MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110930000133 NY Practitioner - Clinical Psychologist 5395917090 Practice locations: Buffalo, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

796 Niagara Falls Blvd
Buffalo, NY 14223-1838
Phone (716) 832-1434

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

NPI Registry JSON

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083635114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "796 NIAGARA FALLS BLVD",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142231838",
            "telephone_number": "716-832-1434",
            "fax_number": "716-332-9237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "796 NIAGARA FALLS BLVD",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142231838",
            "telephone_number": "716-832-1434",
            "fax_number": "716-332-9237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STURNIOLO",
        "first_name": "FRANK",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "008677-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00941415",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.