Individual provider Active NPI

Nicole Murray, PSY.D.

  • Clinical Psychologist
  • Lewiston, NY
National Provider Identifier
1487031399
Registry record updated Apr 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
020478 Issued in NY
Practice address
793 Center St # 793
Lewiston, NY 14092-1705
Phone
(631) 488-1047
NPI assigned
Apr 29, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Psychologist 103TR0400X 020478 NY
Clinical Neuropsychologist 103G00000X 020478 NY
Clinical Psychologist 103TC0700X 020478 NY Primary

Addresses

Primary practice location

793 Center St # 793
Lewiston, NY 14092-1705

Mailing address

793 Center St # 793
Lewiston, NY 14092-1705
Phone (773) 540-3136

Other practice location 1

600 3rd Ave # 265
New York, NY 10016-1901
Phone (631) 488-1047

Other names 1

  • Nicole C Murray Professional name

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

Practice roles

OrganizationSpecialtyStatusNew patients
New York Neurobehavioral Services LLC Clinical Neuropsychologist CurrentSince Apr 19, 2020 Accepting new patients
Cultured Space Inc. Current Accepting new patients

Locations

793 Center St
Lewiston, NY 14092
Phone (631) 488-1047

600 3rd Ave
#265
New York, NY 10016
Phone (212) 736-2177

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1430265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587600000000",
    "number": "1487031399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "793 CENTER ST # 793",
            "city": "LEWISTON",
            "state": "NY",
            "postal_code": "140921705",
            "telephone_number": "773-540-3136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "793 CENTER ST # 793",
            "city": "LEWISTON",
            "state": "NY",
            "postal_code": "140921705",
            "telephone_number": "631-488-1047"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 3rd Ave # 265",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100161901",
            "country_code": "US",
            "telephone_number": "631-488-1047",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MURRAY",
        "first_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-29",
        "last_updated": "2020-04-23",
        "certification_date": "2020-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TR0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Rehabilitation",
            "state": "NY",
            "license": "020478",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NY",
            "license": "020478",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "020478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "MURRAY",
            "middle_name": "C",
            "credential": "PSYD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Lewiston, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.

Verify at the official NPI Registry.