Active NPI
Ava Hosp
- School Psychologist
- Cortlandt Manor, NY
National Provider Identifier
1225410095
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 861318141
- Practice address
- 1 Maple Moor LN
Cortlandt Manor, NY 10567-6419 - Phone
- (914) 582-3732
- NPI assigned
- Jun 29, 2015
- Last updated
- Oct 2, 2015
- 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 | 861318141 | NY | Primary |
Addresses
Primary practice location
1 Maple Moor LN
Cortlandt Manor, NY 10567-6419
Mailing address
1 Maple Moor LN
Cortlandt Manor, NY 10567-6419
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 861318141 | NY | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443744000000",
"number": "1225410095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 MAPLE MOOR LN",
"city": "CORTLANDT MANOR",
"state": "NY",
"postal_code": "105676419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MAPLE MOOR LN",
"city": "CORTLANDT MANOR",
"state": "NY",
"postal_code": "105676419",
"telephone_number": "914-582-3732"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOSP",
"first_name": "AVA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-29",
"last_updated": "2015-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "NY",
"license": "861318141",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cortlandt Manor, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.