Active NPI
Xavier Amador, PH.D.
- Psychologist
- Peconic, NY
National Provider Identifier
1437690765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 010154
- Practice address
- 1150 Smith Rd
Peconic, NY 11958-1616 - Phone
- (516) 578-1864
- Fax
- (646) 304-4888
- NPI assigned
- Mar 20, 2017
- Last updated
- Mar 20, 2017
- 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 | 010154 | NY | Primary |
Addresses
Primary practice location
1150 Smith Rd
Peconic, NY 11958-1616
Mailing address
1150 Smith Rd
Peconic, NY 11958-1616
Phone (516) 578-1864
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010154 | Other | NY | PSYCHOLOGIST LICENSE |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489968000000",
"number": "1437690765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1150 SMITH RD",
"city": "PECONIC",
"state": "NY",
"postal_code": "119581616",
"telephone_number": "516-578-1864",
"fax_number": "646-304-4888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1150 SMITH RD",
"city": "PECONIC",
"state": "NY",
"postal_code": "119581616",
"telephone_number": "516-578-1864",
"fax_number": "646-304-4888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMADOR",
"first_name": "XAVIER",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-03-20",
"last_updated": "2017-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "010154",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PSYCHOLOGIST LICENSE",
"identifier": "010154",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Peconic, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.