Active NPI
John Peter Lombardo, PHD
- Psychologist
- Cortland, NY
National Provider Identifier
1366459539
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 004767-1
- Practice address
- 64 Main Street
Number 213
Cortland, NY 13045 - Phone
- (607) 758-3316
- Fax
- (607) 758-3317
- NPI assigned
- Aug 1, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 004767-1 | NY | Primary |
Addresses
Primary practice location
64 Main Street
Number 213
Cortland, NY 13045
Mailing address
P O Box 5428
Cortland, NY 13045
Phone (607) 758-3316
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 |
|---|---|---|---|
| 004767-1 | NY | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1366459539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P O BOX 5428",
"city": "CORTLAND",
"state": "NY",
"postal_code": "13045",
"telephone_number": "607-758-3316",
"fax_number": "607-758-3317"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "64 MAIN STREET",
"address_2": "NUMBER 213",
"city": "CORTLAND",
"state": "NY",
"postal_code": "13045",
"telephone_number": "607-758-3316",
"fax_number": "607-758-3317"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOMBARDO",
"first_name": "JOHN",
"middle_name": "PETER",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "004767-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cortland, 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.