Individual provider Active NPI

Amelia Flynn, LMFT

  • Family Psychologist
  • New York, NY
National Provider Identifier
1619578747
Registry record updated May 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family PsychologistTaxonomy code 103TF0000X
Practice address
6 E 39TH St Ste 503
New York, NY 10016-0448
Phone
(516) 902-9214
NPI assigned
Nov 4, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TF0000X Primary

Addresses

Primary practice location

6 E 39TH St Ste 503
New York, NY 10016-0448

Mailing address

471 N Broadway # 340
Jericho, NY 11753-2106
Phone (516) 902-9214

Other practice location 1

251 Procop Ave
Jericho, NY 11753-2408
Phone (516) 902-9214

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

NPI Registry JSON

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

{
    "created_epoch": "1604448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621900800000",
    "number": "1619578747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "471 N BROADWAY # 340",
            "city": "JERICHO",
            "state": "NY",
            "postal_code": "117532106",
            "telephone_number": "516-902-9214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 E 39TH ST STE 503",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100160448",
            "telephone_number": "516-902-9214"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "251 Procop Ave",
            "address_purpose": "LOCATION",
            "city": "Jericho",
            "state": "NY",
            "postal_code": "117532408",
            "country_code": "US",
            "telephone_number": "516-902-9214",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLYNN",
        "first_name": "AMELIA",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-04",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Family",
            "state": null,
            "license": null,
            "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 May 25, 2021; 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.