Individual provider Active NPI

Christine Julie Aman, PH.D.

  • Clinical Child & Adolescent Psychologist
  • Rochester, NY
National Provider Identifier
1487857900
Registry record updated Aug 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
License
015494 Issued in NY
Practice address
625 Panorama TRL
Building 2; Suite 180
Rochester, NY 14625-2404
Phone
(585) 383-8840
Fax
(585) 383-8843
NPI assigned
Jun 11, 2007
Last updated
Aug 17, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 17, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent Psychologist 103TC2200X 015494 NY Primary

Addresses

Primary practice location

625 Panorama TRL
Building 2; Suite 180
Rochester, NY 14625-2404

Mailing address

625 Panorama TRL
Building 2; Suite 180
Rochester, NY 14625-2404
Phone (585) 383-8840

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131219000139 NY Practitioner - Clinical Psychologist 0042447013 Practice locations: Rochester, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
015494NYMDClinical Child & Adolescent Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187308800000",
    "number": "1487857900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 PANORAMA TRL",
            "address_2": "BUILDING 2; SUITE 180",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146252404",
            "telephone_number": "585-383-8840",
            "fax_number": "585-383-8843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 PANORAMA TRL",
            "address_2": "BUILDING 2; SUITE 180",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146252404",
            "telephone_number": "585-383-8840",
            "fax_number": "585-383-8843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMAN",
        "first_name": "CHRISTINE",
        "middle_name": "JULIE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-11",
        "last_updated": "2007-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NY",
            "license": "015494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.