Neil B Madero

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

021640 Issued in NY

Practice address

67 Jackson St
Staten Island, NY 10304-2229

Phone

(917) 652-2327

NPI assigned

Jun 7, 2016

Last updated

Jun 7, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1465257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465257600000",
    "number": "1407205842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 JACKSON ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103042229",
            "telephone_number": "917-652-2327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 JACKSON ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103042229",
            "telephone_number": "917-652-2327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADERO",
        "first_name": "NEIL",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-07",
        "last_updated": "2016-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "021640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Maddela, MD
• Haley Madden, LPN
• Olive Maddix, LPN
• Madelyn D. Pullman, MD, LLC
• Jose Garcia Madera
• Victoria Maria Madino
• Madison Telehealth LLC
• Adeen Rodd Madison, P.A.
• Silvia Madison
• Elizabeth Madonia, LMHC,

• Clinical Psychologist in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 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.