Alyson H Skinner, PHD

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

020674 Issued in NY

Practice address

410 E Main St
Centerport, NY 11721-1541

Phone

(631) 606-0430

NPI assigned

Mar 15, 2010

Last updated

Mar 14, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Alyson H Sheehan Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jul 24, 2018 through Jul 24, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1268611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489449600000",
    "number": "1396069704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 E MAIN ST",
            "city": "CENTERPORT",
            "state": "NY",
            "postal_code": "117211541",
            "telephone_number": "631-606-0430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 E MAIN ST",
            "city": "CENTERPORT",
            "state": "NY",
            "postal_code": "117211541",
            "telephone_number": "631-606-0430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKINNER",
        "first_name": "ALYSON",
        "middle_name": "H",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-15",
        "last_updated": "2017-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NY",
            "license": "020674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALYSON",
            "last_name": "SHEEHAN",
            "middle_name": "H",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• S Farhan Zaidi MD PLLC
• Gemma Saylor, RDN
• Alissa Beth Schwartz, LCSW
• Deborah G Seltzer
• Jennifer Wyckoff Shore, LMHC
• Barbara Ann Smith, LMT
• Christopher Smith
• Dina Smith, LCSW
• Catherine P. Stratton, REGISTERED DIETITIAN
• Donald Sturz

• Counseling Psychologist in Centerport, NY
• Providers in Centerport, NY by specialty
• Counseling Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.