Individual provider Active NPI

Amy Y Vigliotti, PHD

  • Clinical Psychologist
  • Manhasset, NY
National Provider Identifier
1417198581
Registry record updated Feb 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
019391 Issued in NY
Practice address
333 E Shore Rd
Suite 206
Manhasset, NY 11030-2924
Phone
(646) 535-1298
NPI assigned
Mar 18, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2012

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 019391 NY Primary

Addresses

Primary practice location

333 E Shore Rd
Suite 206
Manhasset, NY 11030-2924

Mailing address

333 E Shore Rd
Suite 206
Manhasset, NY 11030-2924
Phone (646) 535-1298

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
019391NYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Selfworks Group: Therapy Professionals Clinical PastSince Oct 13, 2019 Accepting new patients

Organizations & group practices 1

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": "1237334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330300800000",
    "number": "1417198581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 E SHORE RD",
            "address_2": "SUITE 206",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110302924",
            "telephone_number": "646-535-1298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 E SHORE RD",
            "address_2": "SUITE 206",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110302924",
            "telephone_number": "646-535-1298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIGLIOTTI",
        "first_name": "AMY",
        "middle_name": "Y",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-18",
        "last_updated": "2012-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "019391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhasset, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2012; 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.