Individual provider Active NPI

Chera Millicent Finnis, PSY. D., CGP, FAGPA

  • Clinical Psychologist
  • New York, NY
National Provider Identifier
1629147988
Registry record updated Sep 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
009679 Issued in NY
Practice address
171 Madison Ave
Suite 400
New York, NY 10016-5110
Phone
(917) 836-4791
Fax
(212) 889-3936
NPI assigned
Nov 8, 2006
Last updated
Sep 15, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 009679 NY Primary

Addresses

Primary practice location

171 Madison Ave
Suite 400
New York, NY 10016-5110

Mailing address

171 Madison Ave
Suite 400
New York, NY 10016-5110
Phone (917) 836-4791

Other identifiers 2

IdentifierTypeStateIssuer
5082332OtherNYPPNI PIN
0004620197OtherNYAETNA PIN

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284508800000",
    "number": "1629147988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 MADISON AVE",
            "address_2": "SUITE 400",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100165110",
            "telephone_number": "917-836-4791",
            "fax_number": "212-889-3936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 MADISON AVE",
            "address_2": "SUITE 400",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100165110",
            "telephone_number": "917-836-4791",
            "fax_number": "212-889-3936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FINNIS",
        "first_name": "CHERA",
        "middle_name": "MILLICENT",
        "name_prefix": "Dr.",
        "credential": "PSY. D., CGP, FAGPA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-08",
        "last_updated": "2010-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "009679",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PPNI PIN",
            "identifier": "5082332",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PIN",
            "identifier": "0004620197",
            "state": "NY"
        }
    ],
    "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 Sep 15, 2010; 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.