Individual provider Active NPI

Michelle Lividini Loiacono, PH.D.

  • School Psychologist
  • White Plains, NY
National Provider Identifier
1346490885
Registry record updated Jan 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
1902606 Issued in NY
Practice address
10 Golden Pond Rd
White Plains, NY 10604-1513
Phone
(914) 980-7393
NPI assigned
Sep 21, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X 1902606 NY Primary
Psychologist 103T00000X 024690 NY

Addresses

Primary practice location

10 Golden Pond Rd
White Plains, NY 10604-1513

Mailing address

10 Golden Pond Rd
White Plains, NY 10604-1513
Phone (914) 980-7393

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Laptop Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Mar 22, 2022 through Mar 22, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1902606NYMDSchool Psychologist
024690NYMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1221955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642636800000",
    "number": "1346490885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 GOLDEN POND RD",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106041513",
            "telephone_number": "914-980-7393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 GOLDEN POND RD",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106041513",
            "telephone_number": "914-980-7393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIVIDINI LOIACONO",
        "first_name": "MICHELLE",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-21",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "NY",
            "license": "1902606",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "024690",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Laptop",
            "affiliation": "N",
            "endpointDescription": "Laptop",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "10 Golden Pond Rd",
            "city": "White Plains",
            "state": "NY",
            "country_code": "US",
            "postal_code": "106041513",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in White Plains, NY

Sources for this page

Verify at the official NPI Registry.