Active NPI
Thomas E. Myers, PH.D.
- Clinical Neuropsychologist
- Melville, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 021697
- Practice address
- 900 Walt Whitman Rd Ste LL6
Melville, NY 11747-2290 - Phone
- (646) 495-6895
- NPI assigned
- Jul 14, 2016
- Last updated
- Jan 23, 2020
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Development & Aging Psychologist | 103TA0700X | 021697 | NY | |
| Cognitive & Behavioral Psychologist | 103TB0200X | 021697 | NY | |
| Clinical Psychologist | 103TC0700X | 021697 | NY | |
| Rehabilitation Psychologist | 103TR0400X | 021697 | NY | |
| Clinical Neuropsychologist | 103G00000X | 021697 | NY | Primary |
Addresses
Primary practice location
900 Walt Whitman Rd Ste LL6
Melville, NY 11747-2290
Mailing address
1 Rosalie CT
Plainview, NY 11803
Phone (518) 210-3237
Other practice location 1
1050 Hallock Ave
1
Port Jefferson Station, NY 11776-1214
Phone (646) 494-6895
Other practice location 2
170 Great Neck Rd
Great Neck, NY 11021-3357
Phone (646) 494-6895
Other practice location 3
1670 Old Country Rd
Ste 119
Plainview, NY 11803-5020
Phone (518) 210-3237
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Long Island Neuropsychological Services PLLC | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Specialist
- Hauppauge, NY
- NPI 1275847568
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579737600000",
"number": "1437502432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 ROSALIE CT",
"city": "PLAINVIEW",
"state": "NY",
"postal_code": "11803",
"telephone_number": "518-210-3237"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 WALT WHITMAN RD STE LL6",
"city": "MELVILLE",
"state": "NY",
"postal_code": "117472290",
"telephone_number": "646-495-6895"
}
],
"practiceLocations": [
{
"address_1": "1050 Hallock Ave",
"address_2": "1",
"address_purpose": "LOCATION",
"city": "Port Jefferson Station",
"state": "NY",
"postal_code": "117761214",
"country_code": "US",
"telephone_number": "646-494-6895",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "170 Great Neck Rd",
"address_purpose": "LOCATION",
"city": "Great Neck",
"state": "NY",
"postal_code": "110213357",
"country_code": "US",
"telephone_number": "646-494-6895",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1670 OLD COUNTRY RD",
"address_2": "STE 119",
"address_purpose": "LOCATION",
"city": "PLAINVIEW",
"state": "NY",
"postal_code": "118035020",
"country_code": "US",
"telephone_number": "518-210-3237",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MYERS",
"first_name": "THOMAS",
"middle_name": "E.",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-07-14",
"last_updated": "2020-01-23",
"certification_date": "2020-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "103TA0700X",
"taxonomy_group": "",
"desc": "Psychologist, Adult Development & Aging",
"state": "NY",
"license": "021697",
"primary": false
},
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "NY",
"license": "021697",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "021697",
"primary": false
},
{
"code": "103TR0400X",
"taxonomy_group": "",
"desc": "Psychologist, Rehabilitation",
"state": "NY",
"license": "021697",
"primary": false
},
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "NY",
"license": "021697",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Melville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.