Active NPI
Amanda Denenberg, MA
- School Psychologist
- Merrick, NY
National Provider Identifier
1144694225
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 2520588
- Practice address
- 2340 McCord Ave
Merrick, NY 11566-4226 - Phone
- (516) 509-2593
- NPI assigned
- Nov 30, 2015
- Last updated
- Nov 30, 2015
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 2520588 | NY | Primary |
Addresses
Primary practice location
2340 McCord Ave
Merrick, NY 11566-4226
Mailing address
2340 McCord Ave
Merrick, NY 11566-4226
Phone (516) 509-2593
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 108720331 | Other | NY | UHC COMMUNITY PLAN |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2520588 | NY | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1448841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1448841600000",
"number": "1144694225",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2340 MCCORD AVE",
"city": "MERRICK",
"state": "NY",
"postal_code": "115664226",
"telephone_number": "516-509-2593"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2340 MCCORD AVE",
"city": "MERRICK",
"state": "NY",
"postal_code": "115664226",
"telephone_number": "516-509-2593"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DENENBERG",
"first_name": "AMANDA",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-11-30",
"last_updated": "2015-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "NY",
"license": "2520588",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC COMMUNITY PLAN",
"identifier": "108720331",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Merrick, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.