Active NPI
Clio Vardopoulos Hatziyannakis, PH.D.
- Clinical Psychologist
- West Point, NY
National Provider Identifier
1407975311
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 013368-1
- 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, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5488 | FL | MD | Clinical Psychologist |
| 013368-1 | NY | MD | Clinical 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.