Tamara Jane Michaelidis, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

68017658 Issued in NY

Practice address

552 Linden Ave
East Aurora, NY 14052-2915

Phone

(716) 652-8100

Fax

(716) 655-6077

NPI assigned

Jun 15, 2008

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Dawn M Walker, LCSW, PLLC

  • Clinical Social Worker
  • East Aurora, NY
  • NPI 1184982316
  NPD (past)
• Hulbert Counseling Services LCSW PC

  • Clinical Social Worker
  • Jamestown, NY
  • NPI 1720120629
  NPD (past)

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

{
    "created_epoch": "1213488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213488000000",
    "number": "1174783963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "552 LINDEN AVE",
            "city": "EAST AURORA",
            "state": "NY",
            "postal_code": "140522915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "552 LINDEN AVE",
            "city": "EAST AURORA",
            "state": "NY",
            "postal_code": "140522915",
            "telephone_number": "716-652-8100",
            "fax_number": "716-655-6077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHAELIDIS",
        "first_name": "TAMARA",
        "middle_name": "JANE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-15",
        "last_updated": "2008-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "68017658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert R Meisner, DDS PC
• Ellen K Metzger, LCSWR
• Ellen Marie Meyer, LPN
• Michael S McCormick
• Michael S McCormick DMD LLC
• Marcia Monica Michaels, OPTICIAN
• Monica M Michaels, ND, LAC
• Karen Klipfel Miller
• Mobilize Physical Therapy PLLC
• Sharon Elizabeth Moore, ANP-BC

• Clinical Psychologist in East Aurora, NY
• Providers in East Aurora, 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 Jun 15, 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.