Audra Cerruto, PH.D

Primary specialty

Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X

License

021919 Issued in NY

Practice address

1000 Hempstead Ave
Rockville Centre, NY 11570-1135

Phone

(516) 323-3329

Fax

(516) 323-3323

NPI assigned

Dec 8, 2016

Last updated

Dec 8, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• The Rebecca Center for Music Therapy

  • Specialist
  • Rockville Centre, NY
  • NPI 1336530872
  NPD (past)

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

{
    "created_epoch": "1481155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481155200000",
    "number": "1336683499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 HEMPSTEAD AVE",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115701135",
            "telephone_number": "516-323-3329",
            "fax_number": "516-323-3323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 HEMPSTEAD AVE",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115701135",
            "telephone_number": "516-323-3329",
            "fax_number": "516-323-3323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CERRUTO",
        "first_name": "AUDRA",
        "credential": "PH.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-08",
        "last_updated": "2016-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "NY",
            "license": "021919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cda Medical, PLLC (Passport Health)
• Catherine Cecere Lucas, LCSW
• Timothy Patrick Cecere Jr.
• David Scott Center, DDS
• Jorge S Cerruti, MD
• Keri Chaloupka, NP
• Nadene Chambers-Simpson
• Hang Fong Kitty Chan, D.O.
• Vinoth Kailash Chandra Mohan
• Juhi Chang, NP

• Cognitive & Behavioral Psychologist in Rockville Centre, NY
• Providers in Rockville Centre, NY by specialty
• Cognitive & Behavioral Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2016; 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.