Theodore Morgan Nnaji, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

018892 Issued in NY

Practice address

7711 Oswego Rd
Liverpool, NY 13090-2322

Phone

(937) 304-5930

NPI assigned

Nov 20, 2010

Last updated

Mar 19, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• GFN Psychological Services, PC

  • Adult Mental Health Clinic/Center
  • East Syracuse, NY
  • NPI 1881991529
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1290211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489881600000",
    "number": "1154623395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5701 E CIRCLE DR",
            "address_2": "# 186",
            "city": "CICERO",
            "state": "NY",
            "postal_code": "130398638",
            "telephone_number": "301-475-8860",
            "fax_number": "301-609-9091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7711 OSWEGO RD",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130902322",
            "telephone_number": "937-304-5930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NNAJI",
        "first_name": "THEODORE",
        "middle_name": "MORGAN",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-11-20",
        "last_updated": "2017-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "018892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bang Chau Tran Nguyen, PA-C
• Tung D Nguyen, D.M.D.
• Peter William Nicolini, MST ATC
• Sophie Nielsen, PT, DPT
• NMC General Dentistry, PC
• Edward Randolph Noble Jr., M.D.
• Michael Robert Nolan, MD
• Robert S Nolan, MD
• Thomas Bennett Nolan, DDS
• North Area Medical Group P.C.

• Clinical Psychologist in Liverpool, NY
• Providers in Liverpool, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.