Allyson Carlson, PSYD

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

016830 Issued in NY

Practice address

52 Faye St
Wading River, NY 11792-1810

Phone

(631) 708-5945

NPI assigned

Mar 14, 2013

Last updated

Mar 14, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1363219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363219200000",
    "number": "1316288442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 FAYE STREET",
            "city": "WADING RIVER",
            "state": "NY",
            "postal_code": "11792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 FAYE ST",
            "city": "WADING RIVER",
            "state": "NY",
            "postal_code": "117921810",
            "telephone_number": "631-708-5945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "ALLYSON",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-14",
        "last_updated": "2013-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NY",
            "license": "016830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Myles Buhner, PHARMD
• Meredith Leslie Bushell, SPEECH PATHOLOGIST
• C Jay's Management Corporation
• Lorraine Callas, A.N.P.
• Jeffrey P Campisi, DDS
• Kayla B Carrasquillo, MASTER OF SCIENCE
• Alina M. Cavallo, LMSW
• Yelena Chavez, MSW
• Helena Cieslak, P.T.
• Joelle Maria Cimino

• Clinical Child & Adolescent Psychologist in Wading River, NY
• Providers in Wading River, NY by specialty
• Clinical Child & Adolescent Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2013; 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.