Active NPI
Alexander Mondrow
- Clinical Child & Adolescent Psychologist
- Monsey, NY
National Provider Identifier
1114165792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Child & Adolescent Psychologist
- Practice address
- 25 Robert Pitt Dr
Monsey, NY 10952-3365 - Phone
- (845) 425-5252
- NPI assigned
- Feb 4, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | |||
| Cognitive & Behavioral Psychologist | 103TB0200X | |||
| Clinical Child & Adolescent Psychologist | 103TC2200X | Primary | ||
| Family Psychologist | 103TF0000X | |||
| School Psychologist | 103TS0200X |
Addresses
Primary practice location
25 Robert Pitt Dr
Monsey, NY 10952-3365
Mailing address
1945 Eastchester Rd
4A
Bronx, NY 10461-2105
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1233705600000",
"number": "1114165792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1945 EASTCHESTER RD",
"address_2": "4A",
"city": "BRONX",
"state": "NY",
"postal_code": "104612105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 ROBERT PITT DR",
"city": "MONSEY",
"state": "NY",
"postal_code": "109523365",
"telephone_number": "845-425-5252"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONDROW",
"first_name": "ALEXANDER",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-02-04",
"last_updated": "2009-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": null,
"license": null,
"primary": true
},
{
"code": "103TF0000X",
"taxonomy_group": "",
"desc": "Psychologist, Family",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Monsey, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.