Individual provider Active NPI

Joanne Joseph, PHD

  • Psychologist
  • Utica, NY
National Provider Identifier
1548340102
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
0704XJOSJOAPH Issued in NY
Practice address
1676 Sunset Ave
Utica, NY 13502-5416
Phone
(315) 490-1258
Fax
(315) 792-7503
NPI assigned
Oct 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 0704XJOSJOAPH NY Primary

Addresses

Primary practice location

1676 Sunset Ave
Utica, NY 13502-5416

Mailing address

7540 Foote Rd
Clinton, NY 13323-3402
Phone (315) 853-4968

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
I20120203000013 NY Practitioner - Clinical Psychologist 8921265968 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2050 Tilden Ave
New Hartford, NY 13413-3613
Phone (315) 797-3114

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0704XJOSJOAPHNYMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Charles T Sitrin Health Care Center, Inc CurrentSince Apr 1, 1999 Accepting new patients
MVHS Inc CurrentSince Sep 1, 2000 Accepting new patients
MVHS Inc CurrentSince Sep 1, 2000 Accepting new patients
Charles T. Sitrin Health Care Center, Inc CurrentSince Apr 1, 1999 Accepting new patients

Locations

2050 Tilden Ave
New Hartford, NY 13413
Phone (315) 737-2466

2050 Tilden Ave
#1000
New Hartford, NY 13413

1656 Champlin Ave
New Hartford, NY 13413
Phone (315) 624-6222

1676 Sunset Ave
Utica, NY 13502
Phone (315) 624-5567

Organizations & group practices 4

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": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1548340102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7540 FOOTE RD",
            "city": "CLINTON",
            "state": "NY",
            "postal_code": "133233402",
            "telephone_number": "315-853-4968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1676 SUNSET AVE",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135025416",
            "telephone_number": "315-490-1258",
            "fax_number": "315-792-7503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSEPH",
        "first_name": "JOANNE",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "0704XJOSJOAPH",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Utica, NY

Sources for this page

Verify at the official NPI Registry.