Active NPI
Tara Marie Aquino, MS CAS
- School Psychologist
- Buffalo, NY
National Provider Identifier
1154626851
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 433781101
- Practice address
- 51 St Johns Parkside
Buffalo, NY 14210-2515 - Phone
- (716) 828-9560
- Fax
- (716) 828-9460
- NPI assigned
- Jan 11, 2011
- Last updated
- Jan 11, 2011
- 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 | 433781101 | NY | Primary |
Addresses
Primary practice location
51 St Johns Parkside
Buffalo, NY 14210-2515
Mailing address
61 McKinley Ave
Apt a
Williamsville, NY 14221-7134
Phone (716) 353-1194
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 433781101 | NY | MD | School Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baker Hall Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Baker Victory Services
- Early Intervention Provider Agency
- Lackawanna, NY
- NPI 1700013927
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294704000000",
"number": "1154626851",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "61 MCKINLEY AVE",
"address_2": "APT A",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "142217134",
"telephone_number": "716-353-1194"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "51 ST JOHNS PARKSIDE",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142102515",
"telephone_number": "716-828-9560",
"fax_number": "716-828-9460"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AQUINO",
"first_name": "TARA",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "MS CAS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-01-11",
"last_updated": "2011-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "NY",
"license": "433781101",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Buffalo, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.