Individual provider Active NPI

Krista Ann Ford, PSYD, NYS LICENSED P

  • Psychologist
  • Orchard Park, NY
National Provider Identifier
1548567993
Registry record updated Mar 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
018937 Issued in NY
Practice address
21 Princeton PL
Suite 100 FMS Psychology, PLLC
Orchard Park, NY 14127-2317
Phone
(716) 539-9232
Fax
(716) 539-9230
NPI assigned
Feb 22, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 018937 NY Primary

Addresses

Primary practice location

21 Princeton PL
Suite 100 FMS Psychology, PLLC
Orchard Park, NY 14127-2317

Mailing address

21 Princeton Place
Suite 100 FMS Psychology, PLLC
Orchard Park, NY 14127
Phone (716) 539-9232

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

State licenses

LicenseStateTypeSpecialty
018937NYMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1298332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363046400000",
    "number": "1548567993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 PRINCETON PLACE",
            "address_2": "SUITE 100 FMS PSYCHOLOGY, PLLC",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "14127",
            "telephone_number": "716-539-9232",
            "fax_number": "716-539-9230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 PRINCETON PL",
            "address_2": "SUITE 100 FMS PSYCHOLOGY, PLLC",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141272317",
            "telephone_number": "716-539-9232",
            "fax_number": "716-539-9230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORD",
        "first_name": "KRISTA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PSYD, NYS LICENSED P",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-22",
        "last_updated": "2013-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "018937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orchard Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2013; 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.