Active NPI
Robert William Motta, PH.D.
- Clinical Psychologist
- Garden City, NY
National Provider Identifier
1093835282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 005072
- Practice address
- 233 Seventh Street, Suite #12
Garden City, NY 11530 - Phone
- (516) 885-9182
- NPI assigned
- Mar 30, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 005072 | NY | Primary |
Addresses
Primary practice location
233 Seventh Street, Suite #12
Garden City, NY 11530
Mailing address
230 Hilton Ave Ste 218
Hempstead, NY 11550-8116
Phone (516) 565-2266
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120222000270 | NY | Practitioner - Clinical Psychologist | 2365600343 | Practice locations: Bayville, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1975
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
16 Leeward CV
Bayville, NY 11709-1018
Phone (516) 885-9182
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychological Wellness of New York, P.C. | Clinical | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Psychologist
- Bayville, NY
- NPI 1861995201
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487116800000",
"number": "1093835282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "230 HILTON AVE STE 218",
"city": "HEMPSTEAD",
"state": "NY",
"postal_code": "115508116",
"telephone_number": "516-565-2266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "233 SEVENTH STREET, SUITE #12",
"city": "GARDEN CITY",
"state": "NY",
"postal_code": "11530",
"telephone_number": "516-885-9182"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOTTA",
"first_name": "ROBERT",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-30",
"last_updated": "2017-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "005072",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Garden City, NY
- Frances Elizabeth Morr, M.A., CCC-SLP
- Matthew Steven Morris, MD
- Maria G Morrone, D.C.
- Nicole M Mosca, M.A. CCC-SLP TSSLD
- Gianni Moshero, P.A.
- Ayelet Mottahedeh, P.A.
- Mount Sinai School of Medicine
- Kalliopi E Moutzouroulias, M.S., CCC-SLP/TSSLD
- Move Play Say, Speech Therapy PLLC
- Movement Initiative Physical and Occupational Therapy PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.