Active NPI
Stephen P Greggo, PSY.D.
- Psychologist
- Delmar, NY
National Provider Identifier
1306839634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 010740-1
- Practice address
- 196 Delaware Ave
Delmar, NY 12054-1227 - Phone
- (518) 439-0033
- Fax
- (518) 439-7161
- NPI assigned
- Aug 23, 2005
- Last updated
- Nov 6, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 010740-1 | NY | Primary |
| Psychologist | 103T00000X | IL |
Addresses
Primary practice location
196 Delaware Ave
Delmar, NY 12054-1227
Mailing address
402 Union St
Schenectady, NY 12305-1119
Phone (518) 374-7555
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01242777 | 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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 071-006719 | IL | MD | Psychologist |
| 010740-1 | NY | MD | Pediatric Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brian L. Fast, Psy.D. and Stephen P. Greggo, Psy.D, Psychologists, P.C | Past | Accepting new patients | |
| Cca Wellness Network Ipa LLC | Psychologist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Capital Area Christian Counseling Asso
- Counseling Psychologist
- Delmar, NY
- NPI 1447280581
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194307200000",
"number": "1306839634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "402 UNION ST",
"city": "SCHENECTADY",
"state": "NY",
"postal_code": "123051119",
"telephone_number": "518-374-7555",
"fax_number": "518-374-6898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "196 DELAWARE AVE",
"city": "DELMAR",
"state": "NY",
"postal_code": "120541227",
"telephone_number": "518-439-0033",
"fax_number": "518-439-7161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREGGO",
"first_name": "STEPHEN",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-23",
"last_updated": "2007-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "010740-1",
"primary": true
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "IL",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01242777",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Delmar, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.