Active NPI
Alla Andelman, PSYD
- Clinical Psychologist
- Williamsville, NY
National Provider Identifier
1235682998
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 020887
- Practice address
- 30 N Cayuga Rd Uppr
Williamsville, NY 14221-5454 - Phone
- (716) 249-1024
- NPI assigned
- Jul 29, 2016
- Last updated
- Aug 23, 2022
- 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 | 020887 | NY | Primary |
Addresses
Primary practice location
30 N Cayuga Rd Uppr
Williamsville, NY 14221-5454
Mailing address
30 N Cayuga Rd Uppr
Williamsville, NY 14221-5454
Phone (716) 249-1024
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 |
|---|---|---|---|
| 020887 | NY | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469750400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661212800000",
"number": "1235682998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 N CAYUGA RD UPPR",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "142215454",
"telephone_number": "716-249-1024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 N CAYUGA RD UPPR",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "142215454",
"telephone_number": "716-249-1024"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDELMAN",
"first_name": "ALLA",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-07-29",
"last_updated": "2022-08-23",
"certification_date": "2022-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "020887",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Williamsville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.