NPIMap

Organization Active NPI

Mary Jo Penizotto, PHD

  • Adult Mental Health Clinic/Center
  • East Amherst, NY
National Provider Identifier
1386094126
Registry record updated Jun 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
010373-1 Issued in NY
Legal business name
MARY JO PENIZOTTO, PHD
Practice address
6507 Transit Rd
Ste B
East Amherst, NY 14051-1427
Phone
(716) 204-0100
Fax
(716) 204-2761
NPI assigned
Jun 13, 2016
Last updated
Jun 13, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2016

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

Authorized official

Name
Dr. Mary Jo Penizotto, PH.D.NPI 1679565386
Title
Licensed Psychologist
Phone
(716) 204-0100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X 010373-1 NY Primary

Addresses

Primary practice location

6507 Transit Rd
Ste B
East Amherst, NY 14051-1427

Mailing address

6507 Transit Rd
Ste B
East Amherst, NY 14051-1427
Phone (716) 204-0100

National Provider Directory

National Provider Directory

Locations

6507 Transit Rd
#B
East Amherst, NY 14051
Phone (716) 204-0100

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1465776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465776000000",
    "number": "1386094126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6507 TRANSIT RD",
            "address_2": "STE B",
            "city": "EAST AMHERST",
            "state": "NY",
            "postal_code": "140511427",
            "telephone_number": "716-204-0100",
            "fax_number": "716-204-2761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6507 TRANSIT RD",
            "address_2": "STE B",
            "city": "EAST AMHERST",
            "state": "NY",
            "postal_code": "140511427",
            "telephone_number": "716-204-0100",
            "fax_number": "716-204-2761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY JO PENIZOTTO, PHD",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-13",
        "last_updated": "2016-06-13",
        "status": "A",
        "authorized_official_last_name": "PENIZOTTO",
        "authorized_official_first_name": "MARY JO",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "716-204-0100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NY",
            "license": "010373-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Amherst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.