Active NPI
Shlomo Hollander, PH.D.
- Psychologist
- Valley Cottage, NY
National Provider Identifier
1417224692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 015084
- Practice address
- 616 Corporate Way
Suite 2-3466
Valley Cottage, NY 10989-2044 - Phone
- (845) 402-6077
- NPI assigned
- Nov 16, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 015084 | NY | Primary |
Addresses
Primary practice location
616 Corporate Way
Suite 2-3466
Valley Cottage, NY 10989-2044
Mailing address
616 Corporate Way
Suite 2-3466
Valley Cottage, NY 10989-2044
Phone (845) 402-6077
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
| License | State | Type | Specialty |
|---|---|---|---|
| 015084 | NY | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Epilepsy & Neurophysiology Medical Consulting PC | Past | 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.
-
- Neurology Physician
- White Plains, NY
- NPI 1770564593
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363478400000",
"number": "1417224692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "616 CORPORATE WAY",
"address_2": "SUITE 2-3466",
"city": "VALLEY COTTAGE",
"state": "NY",
"postal_code": "109892044",
"telephone_number": "845-402-6077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "616 CORPORATE WAY",
"address_2": "SUITE 2-3466",
"city": "VALLEY COTTAGE",
"state": "NY",
"postal_code": "109892044",
"telephone_number": "845-402-6077"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLANDER",
"first_name": "SHLOMO",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-11-16",
"last_updated": "2013-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "015084",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Valley Cottage, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.