Active NPI
Alexander F Minardi, PH.D.
- Psychologist
- East Islip, NY
National Provider Identifier
1447249602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 08253-1
- Practice address
- 55 Carleton Ave
East Islip, NY 11730-2133 - Phone
- (631) 277-2341
- NPI assigned
- Oct 19, 2005
- Sex
- Male
- Sole proprietor
- No
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 | 08253-1 | NY | Primary |
Addresses
Primary practice location
55 Carleton Ave
East Islip, NY 11730-2133
Mailing address
25 Village Cir S
Manorville, NY 11949-9649
Phone (631) 874-0094
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Sep 26, 2017 through Sep 26, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 08253-1 | NY | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187049600000",
"number": "1447249602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 VILLAGE CIR S",
"city": "MANORVILLE",
"state": "NY",
"postal_code": "119499649",
"telephone_number": "631-874-0094"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 CARLETON AVE",
"city": "EAST ISLIP",
"state": "NY",
"postal_code": "117302133",
"telephone_number": "631-277-2341"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MINARDI",
"first_name": "ALEXANDER",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-19",
"last_updated": "2007-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "08253-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Islip, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.