Active NPI
Mark J Pfeffer, SCHOOL PSYCHOLOGIST
- School Psychologist
- Spring Valley, NY
National Provider Identifier
1386766962
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- Practice address
- 4 Rodman PL
Spring Valley, NY 10977-1507 - Phone
- (845) 354-4683
- Fax
- (845) 354-4683
- NPI assigned
- Apr 4, 2007
- 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 |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | NY | Primary |
Addresses
Primary practice location
4 Rodman PL
Spring Valley, NY 10977-1507
Mailing address
4 Rodman PL
Spring Valley, NY 10977-1507
Phone (845) 354-4683
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1185321600000",
"number": "1386766962",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 RODMAN PL",
"city": "SPRING VALLEY",
"state": "NY",
"postal_code": "109771507",
"telephone_number": "845-354-4683",
"fax_number": "845-354-4683"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 RODMAN PL",
"city": "SPRING VALLEY",
"state": "NY",
"postal_code": "109771507",
"telephone_number": "845-354-4683",
"fax_number": "845-354-4683"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PFEFFER",
"first_name": "MARK",
"middle_name": "J",
"name_prefix": "Mr.",
"credential": "SCHOOL PSYCHOLOGIST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-04",
"last_updated": "2007-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "NY",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spring Valley, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.