Active NPI
Robert B. Devinney, PH.D. Psychologist PC
- Clinical Neuropsychologist
- Patchogue, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 012661
- Legal business name
- ROBERT B. DEVINNEY, PH.D. PSYCHOLOGIST PC
- Practice address
- 105 Medford Ave
Patchogue, NY 11772-1223 - Phone
- (631) 987-3780
- Fax
- (631) 204-0069
- NPI assigned
- Apr 4, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Robert B. Devinney, PH.D.
- Title
- President
- Phone
- (631) 987-3780
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 012661 | NY | Primary |
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | 012661 | NY | |
| Adult Development & Aging Psychologist | 103TA0700X | 012661 | NY | |
| Clinical Psychologist | 103TC0700X | 012661 | NY | |
| Rehabilitation Psychologist | 103TR0400X | 012661 | NY |
Addresses
Primary practice location
105 Medford Ave
Patchogue, NY 11772-1223
Mailing address
40 High St
Southampton, NY 11968-4061
Phone (631) 987-3780
National Provider Directory
National Provider DirectoryLocations
2956 Medford Ave
Medford, NY 11763
Phone (631) 987-3780
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Neuropsychologist
- Patchogue, NY
- NPI 1184922056
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175644800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1303862400000",
"number": "1114049871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 HIGH ST",
"city": "SOUTHAMPTON",
"state": "NY",
"postal_code": "119684061",
"telephone_number": "631-987-3780",
"fax_number": "845-340-7314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 MEDFORD AVE",
"city": "PATCHOGUE",
"state": "NY",
"postal_code": "117721223",
"telephone_number": "631-987-3780",
"fax_number": "631-204-0069"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROBERT B. DEVINNEY, PH.D. PSYCHOLOGIST PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-04",
"last_updated": "2011-04-27",
"status": "A",
"authorized_official_last_name": "DEVINNEY",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "B.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "631-987-3780",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Clinical Neuropsychologist",
"state": "NY",
"license": "012661",
"primary": true
},
{
"code": "103TA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Addiction (Substance Use Disorder)",
"state": "NY",
"license": "012661",
"primary": false
},
{
"code": "103TA0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Adult Development & Aging",
"state": "NY",
"license": "012661",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "012661",
"primary": false
},
{
"code": "103TR0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Rehabilitation",
"state": "NY",
"license": "012661",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Patchogue, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.