Individual provider Active NPI

Dayanara Vazquez Comas

  • Clinical Psychologist
  • Syracuse, NY
National Provider Identifier
1194419622
Registry record updated Jun 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
025456-01 Issued in NY
Practice address
3300 James St Ste 101
Syracuse, NY 13206-2392
Phone
(315) 422-0300
NPI assigned
Jun 7, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 025456-01 NY Primary

Addresses

Primary practice location

3300 James St Ste 101
Syracuse, NY 13206-2392

Mailing address

800 Starboard Side LN
Webster, NY 14580-2286

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20230712000574 NY Practitioner - Clinical Psychologist 8426418229 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Psychiatry Services of New York, PCGroup PAC ID 9133534340, 34 clinicians

Practice addresses (Care Compare)

3300 James St
Suite 100
Syracuse, NY 13206-2392
Phone (315) 422-0300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
025456-01NYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Psychiatry Services of New York, P.C. CurrentSince Feb 20, 2024 Accepting new patients
Psychological Healthcare, PLLC CurrentSince Aug 1, 2023 Accepting new patients
Psychiatry Services of New York PC CurrentSince Feb 20, 2024 Accepting new patients

Locations

8289 Loop Rd
Baldwinsville, NY 13027
Phone (315) 452-0300

121 Sullys Trl
Ste 8
Pittsford, NY 14534

3300 James St
Ste 101
Syracuse, NY 13206

3300 James St
Ste 100
Syracuse, NY 13206

3300 James St
Ste 201
Syracuse, NY 13206
Phone (315) 437-4500

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/28623/brand/6/csg/1/fhir/r4

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1686096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686096000000",
    "number": "1194419622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 STARBOARD SIDE LN",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145802286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 JAMES ST STE 101",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132062392",
            "telephone_number": "315-422-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAZQUEZ COMAS",
        "first_name": "DAYANARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-07",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "025456-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

Verify at the official NPI Registry.