Active NPI
Alejandro Cesar Sciammarella, PHD
- Psychologist
- Bay Shore, NY
National Provider Identifier
1558668079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 008787-1
- Practice address
- 155 3Rd Ave
Bay Shore, NY 11706-6636 - Phone
- (631) 968-1171
- NPI assigned
- Feb 18, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 008787-1 | NY | Primary |
Addresses
Primary practice location
155 3Rd Ave
Bay Shore, NY 11706-6636
Mailing address
3 Kim PL
Kings Park, NY 11754-5025
Phone (631) 544-0864
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008787-1 | NY | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297987200000",
"number": "1558668079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 KIM PL",
"city": "KINGS PARK",
"state": "NY",
"postal_code": "117545025",
"telephone_number": "631-544-0864"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 3RD AVE",
"city": "BAY SHORE",
"state": "NY",
"postal_code": "117066636",
"telephone_number": "631-968-1171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCIAMMARELLA",
"first_name": "ALEJANDRO",
"middle_name": "CESAR",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-02-18",
"last_updated": "2011-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "008787-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bay Shore, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.