Individual provider Active NPI

Thomas E. Myers, PH.D.

  • Clinical Neuropsychologist
  • Melville, NY
National Provider Identifier
1437502432
Registry record updated Jan 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
021697 Issued in NY
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, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2020

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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

OrganizationSpecialtyStatusNew patients
Long Island Neuropsychological Services PLLC PastSince Mar 11, 2011 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.

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.

Verify at the official NPI Registry.