Active NPI
Afshan Mohamedali, PHD
- Clinical Psychologist
- Oyster Bay, NY
National Provider Identifier
1376192815
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 023348
- Practice address
- 3 Audrey Ave Ste 2
Oyster Bay, NY 11771-1554 - Phone
- (516) 308-1551
- NPI assigned
- Sep 7, 2019
- Sex
- Female
- 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 | 023348 | NY | Primary |
Addresses
Primary practice location
3 Audrey Ave Ste 2
Oyster Bay, NY 11771-1554
Mailing address
3 Audrey Ave Ste 2
Oyster Bay, NY 11771-1554
Phone (516) 308-1551
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jul 10, 2022 through Jul 10, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648166400000",
"number": "1376192815",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 AUDREY AVE STE 2",
"city": "OYSTER BAY",
"state": "NY",
"postal_code": "117711554",
"telephone_number": "516-308-1551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 AUDREY AVE STE 2",
"city": "OYSTER BAY",
"state": "NY",
"postal_code": "117711554",
"telephone_number": "516-308-1551"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOHAMEDALI",
"first_name": "AFSHAN",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-09-07",
"last_updated": "2022-03-25",
"certification_date": "2022-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "023348",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oyster Bay, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.