Individual provider Active NPI

Michael Vincent D'Adamo, PH.D.

  • Psychologist
  • Whitehouse Station, NJ
National Provider Identifier
1417041971
Registry record updated Jan 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
2645 Issued in NJ
Practice address
295 Route 22 East
Suite 3
Whitehouse Station, NJ 08889
Phone
(908) 534-5850
NPI assigned
Oct 2, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 2645 NJ Primary

Addresses

Primary practice location

295 Route 22 East
Suite 3
Whitehouse Station, NJ 08889

Mailing address

295 Route 22 East
Suite 3
Whitehouse Station, NJ 08889
Phone (908) 534-5850

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)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
2645NJMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294704000000",
    "number": "1417041971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 ROUTE 22 EAST",
            "address_2": "SUITE 3",
            "city": "WHITEHOUSE STATION",
            "state": "NJ",
            "postal_code": "08889",
            "telephone_number": "908-534-5850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 ROUTE 22 EAST",
            "address_2": "SUITE 3",
            "city": "WHITEHOUSE STATION",
            "state": "NJ",
            "postal_code": "08889",
            "telephone_number": "908-534-5850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D'ADAMO",
        "first_name": "MICHAEL",
        "middle_name": "VINCENT",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2011-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "2645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitehouse Station, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2011; 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.