Individual provider Active NPI

Camilla Zoe Cuddy, PSYD

  • Clinical Psychologist
  • New York, NY
National Provider Identifier
1407168495
Registry record updated Jul 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
015985-1 Issued in NY
Practice address
180 E End Ave
Apartment 16B
New York, NY 10128-7763
Phone
(917) 912-6667
NPI assigned
Jul 8, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 015985-1 NY Primary

Addresses

Primary practice location

180 E End Ave
Apartment 16B
New York, NY 10128-7763

Mailing address

180 E End Ave
Apartment 16B
New York, NY 10128-7763
Phone (917) 912-6667

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

State licenses

LicenseStateTypeSpecialty
015985-1NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Sunny Days Psychology & Speech Language Pathology CurrentSince Jan 1, 2022 Accepting new patients
CZ Cuddy Applied Behavior Analysis Current Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1278547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278547200000",
    "number": "1407168495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 E END AVE",
            "address_2": "APARTMENT 16B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101287763",
            "telephone_number": "917-912-6667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 E END AVE",
            "address_2": "APARTMENT 16B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101287763",
            "telephone_number": "917-912-6667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUDDY",
        "first_name": "CAMILLA",
        "middle_name": "ZOE",
        "name_prefix": "Mrs.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-08",
        "last_updated": "2010-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "015985-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2010; 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.