Active NPI
Rosemarie Dorothea Amendolia, PHD
- Clinical Psychologist
- Schenectady, NY
National Provider Identifier
1205980489
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective May 19, 2011.
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 011270
- Practice address
- 801 Bedford Rd
Schenectady, NY 12308-3407 - Phone
- (518) 395-9187
- Fax
- (518) 346-0292
- NPI assigned
- Jan 23, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 011270 | NY | Primary |
Addresses
Primary practice location
801 Bedford Rd
Schenectady, NY 12308-3407
Mailing address
333 Alplaus Ave
Alplaus, NY 12008-1017
Phone (518) 399-7169
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01787677 | Medicaid | NY |
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011270 | NY | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trauma and Addictions Recovery Assoc. | Clinical | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1205980489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 ALPLAUS AVE",
"city": "ALPLAUS",
"state": "NY",
"postal_code": "120081017",
"telephone_number": "518-399-7169",
"fax_number": "518-346-0292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 BEDFORD RD",
"city": "SCHENECTADY",
"state": "NY",
"postal_code": "123083407",
"telephone_number": "518-395-9187",
"fax_number": "518-346-0292"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMENDOLIA",
"first_name": "ROSEMARIE",
"middle_name": "DOROTHEA",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "011270",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01787677",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Schenectady, NY
- Amazing Grace Home Care Solutions, LLC
- Amazing Grace Transportation, LLC
- Amber L. Shutter N.P., in Psychiatry, PLLC
- Marypat Driscoll Ambrosino, RD
- Ame L.L.C. (Armistead Caregiver Services)
- America Homecare Agency Services Corporation (America Homecare Agency)
- American Meditransport LLC
- Andre Villegas Amistoso, MD
- Jennifer J Amorosi, PA
- Amy M. Molinaro, D.M.D., P.C. (Union Street Dental)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.