Alyssa Marie Vincentz, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

024141-01 Issued in NY

Practice address

115 E 23Rd St FL 3
New York, NY 10010-4565

Phone

(646) 450-3064

NPI assigned

Feb 1, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1328054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638835200000",
    "number": "1285906594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 OAK CIR",
            "city": "MAHOPAC",
            "state": "NY",
            "postal_code": "105414147",
            "telephone_number": "914-309-3202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 E 23RD ST FL 3",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100104565",
            "telephone_number": "646-450-3064"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16 Middle Neck Rd",
            "address_purpose": "LOCATION",
            "city": "Great Neck",
            "state": "NY",
            "postal_code": "110212357",
            "country_code": "US",
            "telephone_number": "646-450-3064",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VINCENTZ",
        "first_name": "ALYSSA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-01",
        "last_updated": "2021-12-07",
        "certification_date": "2021-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "05016",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "024141-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Philip Emanuel Vincent, M.D.
• Sara M Vincent
• Stanley Vincent
• Zane Vincent, PA
• Pedro Manuel Vincenty, D.M.D.
• Vinci Health Medical P.C.
• Michele A Vinci, PHARM.D.
• Lauren Marie Vinciguerra, NP
• Zoe Madelane Vindman
• Vine Acupuncture, P.C.

• Clinical Psychologist in New York, NY
• Providers in New York, 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 Dec 7, 2021; 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.