Active NPI
Annette Payne, PHD
- Clinical Psychologist
- Albany, NY
National Provider Identifier
1164536330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 012774
- Practice address
- 4 Central Ave
Albany, NY 12210-1334 - Phone
- (800) 275-3243
- Fax
- (800) 275-3671
- NPI assigned
- Aug 17, 2006
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 012774 | NY | Primary |
Addresses
Primary practice location
4 Central Ave
Albany, NY 12210-1334
Mailing address
4 Central Ave
Albany, NY 12210-1334
Phone (800) 275-3243
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)
- Enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Achieve Physical Therapy Services of New York PLLC | 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 and National Provider Directory roles.
-
- Physical Therapist
- Far Rockaway, NY
- NPI 1831398163
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200528000000",
"number": "1164536330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 CENTRAL AVE",
"city": "ALBANY",
"state": "NY",
"postal_code": "122101334",
"telephone_number": "800-275-3243",
"fax_number": "800-275-3671"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 CENTRAL AVE",
"city": "ALBANY",
"state": "NY",
"postal_code": "122101334",
"telephone_number": "800-275-3243",
"fax_number": "800-275-3671"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAYNE",
"first_name": "ANNETTE",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-17",
"last_updated": "2008-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "012774",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albany, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.