Individual provider Active NPI

Joanna L Hoban, M.A.

  • School Psychologist
  • Ronkonkoma, NY
National Provider Identifier
1144473844
Registry record updated Oct 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
2130798 Issued in NY
Practice address
90 Air Park Dr
Ronkonkoma, NY 11779-7360
Phone
(631) 580-4029
NPI assigned
Oct 28, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X 2130798 NY Primary

Addresses

Primary practice location

90 Air Park Dr
Ronkonkoma, NY 11779-7360

Mailing address

90 Air Park Dr
Ronkonkoma, NY 11779-7360
Phone (631) 580-4029

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
2130798NYMDSchool Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225152000000",
    "number": "1144473844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 AIR PARK DR",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117797360",
            "telephone_number": "631-580-4029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 AIR PARK DR",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117797360",
            "telephone_number": "631-580-4029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOBAN",
        "first_name": "JOANNA",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-28",
        "last_updated": "2008-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "NY",
            "license": "2130798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ronkonkoma, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2008; 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.