Active NPI
Amanda Volper
- Clinical Psychologist
- Long Island City, NY
National Provider Identifier
1376958090
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 020635
- Practice address
- 4720 Center Blvd
Apt 3008
Long Island City, NY 11109-5619 - Phone
- (200) 230-2704
- NPI assigned
- Jun 23, 2014
- 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 | 020635 | NY | Primary |
Addresses
Primary practice location
4720 Center Blvd
Apt 3008
Long Island City, NY 11109-5619
Mailing address
4720 Center Blvd
Apt 3008
Long Island City, NY 11109-5619
Phone (200) 230-2704
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 020635 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403481600000",
"number": "1376958090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4720 CENTER BLVD",
"address_2": "APT 3008",
"city": "LONG ISLAND CITY",
"state": "NY",
"postal_code": "111095619",
"telephone_number": "200-230-2704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4720 CENTER BLVD",
"address_2": "APT 3008",
"city": "LONG ISLAND CITY",
"state": "NY",
"postal_code": "111095619",
"telephone_number": "200-230-2704"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VOLPER",
"first_name": "AMANDA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-06-23",
"last_updated": "2014-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "020635",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Long Island City, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.