Active NPI
Diamanto Tsakanikas, PH.D.
- Clinical Neuropsychologist
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 017454
- Practice address
- 428 E 72ND St
Suite 500
New York, NY 10021-4635 - Phone
- (212) 746-2441
- Fax
- (212) 746-5584
- NPI assigned
- Feb 12, 2008
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 017454 | NY | Primary |
Addresses
Primary practice location
428 E 72ND St
Suite 500
New York, NY 10021-4635
Mailing address
428 E 72ND St
Suite 500
New York, NY 10021-4635
Phone (212) 746-2441
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2008
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1590 Wellington Ave
Savannah, NY 13146-3160
165 Passaic Ave
Suite 200
Fairfield, NJ 07004-3564
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 017454 | NY | MD | Clinical Neuropsychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Middlesex Psychiatry & TMS PC | Current | Accepting new patients |
Locations
165 Passaic Ave
Ste 200
Fairfield, NJ 07004
Phone (800) 413-8020
3820 River Rd
Point Pleasant Boro, NJ 08742
Phone (732) 840-5266
310 E Shore Rd
Ste 100
Great Neck, NY 11023
Phone (516) 466-0444
330 Motor Pkwy
Ste 204
Hauppauge, NY 11788
Phone (631) 617-6903
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.
-
- Clinical Neuropsychologist
- Brick, NJ
- NPI 1033213251
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202774400000",
"number": "1497923585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "428 E 72ND ST",
"address_2": "SUITE 500",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100214635",
"telephone_number": "212-746-2441",
"fax_number": "212-746-5584"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "428 E 72ND ST",
"address_2": "SUITE 500",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100214635",
"telephone_number": "212-746-2441",
"fax_number": "212-746-5584"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TSAKANIKAS",
"first_name": "DIAMANTO",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-12",
"last_updated": "2008-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "NY",
"license": "017454",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.