NPIMap

Organization Active NPI

John P Lombardo, PHD,Licensed Psychologist,P.C.

  • Clinical Psychologist
  • Cortland, NY
National Provider Identifier
1417302167
Registry record updated May 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
004767-1 Issued in NY
Legal business name
JOHN P LOMBARDO, PHD,LICENSED PSYCHOLOGIST,P.C.
Practice address
64 Main St Ste 213
Cortland, NY 13045-2656
Phone
(607) 758-3316
Fax
(607) 758-3317
NPI assigned
May 2, 2016
Last updated
May 2, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2016

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

Authorized official

Name
Dr. John P Lombardo, PHDNPI 1366459539
Title
President
Phone
(607) 758-3316

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 004767-1 NY Primary

Addresses

Primary practice location

64 Main St Ste 213
Cortland, NY 13045-2656

Mailing address

1267 Gallagher Rd # 5428
Cortland, NY 13045-8869
Phone (607) 758-3316

National Provider Directory

National Provider Directory

Locations

64 Main St
Ste 213
Cortland, NY 13045
Phone (607) 267-6342

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1462147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462147200000",
    "number": "1417302167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1267 GALLAGHER RD # 5428",
            "city": "CORTLAND",
            "state": "NY",
            "postal_code": "130458869",
            "telephone_number": "607-758-3316",
            "fax_number": "607-758-3317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 MAIN ST STE 213",
            "city": "CORTLAND",
            "state": "NY",
            "postal_code": "130452656",
            "telephone_number": "607-758-3316",
            "fax_number": "607-758-3317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN P LOMBARDO, PHD,LICENSED PSYCHOLOGIST,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-02",
        "last_updated": "2016-05-02",
        "status": "A",
        "authorized_official_last_name": "LOMBARDO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "607-758-3316",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "004767-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cortland, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2016; 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.