Michael Phillip Santa Maria, PH.D.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

014396 Issued in NY

Practice address

1825 Maple Rd Ste 200
Williamsville, NY 14221-2779

Phone

(716) 687-8748

Fax

(716) 687-8753

NPI assigned

Sep 22, 2006

Last updated

Jun 21, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Neuropsychology & Psychology Services, P.C.

  • Clinical Neuropsychologist
  • Buffalo, NY
  • NPI 1922276484
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718928000000",
    "number": "1356440614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 MAPLE RD STE 200",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142212779",
            "telephone_number": "716-687-8748",
            "fax_number": "716-687-8753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 MAPLE RD STE 200",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142212779",
            "telephone_number": "716-687-8748",
            "fax_number": "716-687-8753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTA MARIA",
        "first_name": "MICHAEL",
        "middle_name": "PHILLIP",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NY",
            "license": "014396",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "492457",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT HEALTH",
            "identifier": "9711291",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/COMMUNITY BLUE",
            "identifier": "000526368004",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA PROVIDER NUMBER",
            "identifier": "00025453102",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02186592",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danyell Sanders, LPN
• Sahibjot Kaur Sandhu, MBBS
• Sandra Leinweber Nurse Practitioner, Psychiatry (leinweber psychiatric services)
• John Sanford, LPN
• William Sanford V, L.P.N.
• Jennifer Santana, LPN
• Sabrina Santana, PA-C
• Shannan Santarone, LMSW
• Alexis Lindsey Santillo, PA-C
• Michelle Sapar, RN

• Clinical Neuropsychologist in Williamsville, NY
• Providers in Williamsville, NY by specialty
• Clinical Neuropsychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.