Tiffany Ann Avon Psy D PC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

020146 Issued in NY

Legal business name

TIFFANY ANN AVON PSY D PC

Practice address

585 Plandome Rd Ste 105
Manhasset, NY 11030-1971

Phone

(917) 887-2783

NPI assigned

Aug 29, 2018

Organization subpart

No

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

Authorized official

Name

Tiffany Avon, PSYDNPI 1912364373

Title

Director

Phone

(917) 887-2783

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tiffany Ann Avon

  • Clinical Psychologist
  • Bayside, NY
  • NPI 1912364373
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1535500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621468800000",
    "number": "1457833261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 CANTERBURY LN",
            "city": "RIDGEFIELD",
            "state": "CT",
            "postal_code": "068771102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "585 PLANDOME RD STE 105",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110301971",
            "telephone_number": "917-887-2783"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1129 Northern Blvd Ste 404",
            "address_purpose": "LOCATION",
            "city": "Manhasset",
            "state": "NY",
            "postal_code": "110303022",
            "country_code": "US",
            "telephone_number": "914-904-4499",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1689 Route 22",
            "address_purpose": "LOCATION",
            "city": "Brewster",
            "state": "NY",
            "postal_code": "105094022",
            "country_code": "US",
            "telephone_number": "914-904-4499",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TIFFANY ANN AVON PSY D PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-29",
        "last_updated": "2021-05-20",
        "certification_date": "2021-05-20",
        "status": "A",
        "authorized_official_last_name": "AVON",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "917-887-2783",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "020146",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "020146",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nirvani Thumbasamy
• Tommy Tiao, D.O
• Javier Humberto Ticona, MD
• Nicolette Marie Tiernan, PA-C
• Laura Tierno, FNP
• Gregory S. Timm, M.D.
• Victoria Timmel, MD
• Lynda Tinglin
• Jorge Johnny Tirado, MD
• Omoakhe Ilamosi Tisor

• Clinical Psychologist in Manhasset, NY
• Providers in Manhasset, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.