Active NPI
Jay Pomales, PH.D.
- Counseling Psychologist
- Montrose, NY
National Provider Identifier
1447346507
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 011211
- Practice address
- VA Hudson Valley Healthcare System Albany Post Road
Montrose, NY 10548 - Phone
- (914) 737-4400
- Fax
- (914) 788-4362
- NPI assigned
- Oct 5, 2006
- 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 |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 011211 | NY | Primary |
Addresses
Primary practice location
VA Hudson Valley Healthcare System Albany Post Road
Montrose, NY 10548
Mailing address
2094 Albany Post Rd
Montrose, NY 10548-1454
Phone (914) 737-4400
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011211 | NY | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334707200000",
"number": "1447346507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2094 ALBANY POST RD",
"city": "MONTROSE",
"state": "NY",
"postal_code": "105481454",
"telephone_number": "914-737-4400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "VA HUDSON VALLEY HEALTHCARE SYSTEM ALBANY POST ROAD",
"city": "MONTROSE",
"state": "NY",
"postal_code": "10548",
"telephone_number": "914-737-4400",
"fax_number": "914-788-4362"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POMALES",
"first_name": "JAY",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-05",
"last_updated": "2012-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "NY",
"license": "011211",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Montrose, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.