Individual provider Active NPI

Clio Vardopoulos Hatziyannakis, PH.D.

  • Clinical Psychologist
  • West Point, NY
National Provider Identifier
1407975311
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
013368-1 Issued in NY
Practice address
Keller Army Community Hospital
900 Washington Road
West Point, NY 10996-1197
Phone
(845) 938-3441
Fax
(845) 938-5770
NPI assigned
Mar 29, 2007
Last updated
Jul 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 5488 FL
Clinical Psychologist 103TC0700X 013368-1 NY Primary

Addresses

Primary practice location

Keller Army Community Hospital
900 Washington Road
West Point, NY 10996-1197

Mailing address

Keller Army Community Hospital
900 Washington Road
West Point, NY 10996-1197
Phone (315) 774-8221

Other practice location 1

3212 US Route 9W
Suite 100
New Windsor, NY 12553-6756
Phone (845) 565-8790

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
5488FLMDClinical Psychologist
013368-1NYMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753315200000",
    "number": "1407975311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "KELLER ARMY COMMUNITY HOSPITAL",
            "address_2": "900 WASHINGTON ROAD",
            "city": "WEST POINT",
            "state": "NY",
            "postal_code": "109961197",
            "telephone_number": "315-774-8221",
            "fax_number": "845-938-5770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "KELLER ARMY COMMUNITY HOSPITAL",
            "address_2": "900 WASHINGTON ROAD",
            "city": "WEST POINT",
            "state": "NY",
            "postal_code": "109961197",
            "telephone_number": "845-938-3441",
            "fax_number": "845-938-5770"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3212 US Route 9W",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "New Windsor",
            "state": "NY",
            "postal_code": "125536756",
            "country_code": "US",
            "telephone_number": "845-565-8790",
            "fax_number": "845-565-5730",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HATZIYANNAKIS",
        "first_name": "CLIO",
        "middle_name": "VARDOPOULOS",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-29",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "5488",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "013368-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Point, NY

Sources for this page

Verify at the official NPI Registry.