Active NPI
Amanda Aivaz, LP
- Psychoanalyst
- White Plains, NY
National Provider Identifier
1477187367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychoanalyst
- License
- 001067
- Practice address
- 777 Westchester Ave Ste 101
White Plains, NY 10604-3520 - Phone
- (914) 433-1414
- NPI assigned
- Feb 28, 2020
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Psychoanalyst | 102L00000X | 001067 | NY | Primary |
Addresses
Primary practice location
777 Westchester Ave Ste 101
White Plains, NY 10604-3520
Mailing address
32 Maynard St Apt 3a
Tuckahoe, NY 10707-3436
Phone (914) 433-1414
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001067 | NY | MD | Psychoanalyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582848000000",
"number": "1477187367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32 MAYNARD ST APT 3A",
"city": "TUCKAHOE",
"state": "NY",
"postal_code": "107073436",
"telephone_number": "914-433-1414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "777 WESTCHESTER AVE STE 101",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "106043520",
"telephone_number": "914-433-1414"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AIVAZ",
"first_name": "AMANDA",
"credential": "LP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-02-28",
"last_updated": "2020-02-28",
"certification_date": "2020-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "102L00000X",
"taxonomy_group": "",
"desc": "Psychoanalyst",
"state": "NY",
"license": "001067",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in White Plains, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.