NPIMap

Organization Active NPI

Oakdale Psychology Associates

  • Clinical Psychologist
  • Johnson City, NY
National Provider Identifier
1497944318
Registry record updated Oct 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
OAKDALE PSYCHOLOGY ASSOCIATES
Practice address
804 Valley PLZ
Johnson City, NY 13790-1009
Phone
(607) 797-1100
Fax
(607) 797-9514
NPI assigned
Oct 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2007

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

Authorized official

Name
Susan W. Blue, PH.D.NPI 1366522195
Title
Owner/Psychologist
Phone
(607) 797-1100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

804 Valley PLZ
Johnson City, NY 13790-1009

Mailing address

804 Valley PLZ
Johnson City, NY 13790-1009
Phone (607) 797-1100

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1192492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192492800000",
    "number": "1497944318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 VALLEY PLZ",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "137901009",
            "telephone_number": "607-797-1100",
            "fax_number": "607-797-9514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 VALLEY PLZ",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "137901009",
            "telephone_number": "607-797-1100",
            "fax_number": "607-797-9514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKDALE PSYCHOLOGY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-16",
        "last_updated": "2007-10-16",
        "status": "A",
        "authorized_official_last_name": "BLUE",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "OWNER/PSYCHOLOGIST",
        "authorized_official_telephone_number": "607-797-1100",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2007; 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.