Active NPI
Joseph L Pando, PH.D.
- Clinical Psychologist
- Williston Park, NY
National Provider Identifier
1356477509
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 8443-1
- Practice address
- 105 Hillside Ave
Williston Park, NY 11596-2311 - Phone
- (516) 877-2005
- Fax
- (516) 739-0079
- NPI assigned
- Feb 24, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 8443-1 | NY | Primary |
Addresses
Primary practice location
105 Hillside Ave
Williston Park, NY 11596-2311
Mailing address
109 Meadbrook Rd
Garden City, NY 11530-2601
Phone (516) 739-0079
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8443-1 | NY | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1356477509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 MEADBROOK RD",
"city": "GARDEN CITY",
"state": "NY",
"postal_code": "115302601",
"telephone_number": "516-739-0079",
"fax_number": "516-739-0079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 HILLSIDE AVE",
"city": "WILLISTON PARK",
"state": "NY",
"postal_code": "115962311",
"telephone_number": "516-877-2005",
"fax_number": "516-739-0079"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANDO",
"first_name": "JOSEPH",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "8443-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Williston Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.