Individual provider Active NPI

Alvera Vayzer-Milberg, PSYCHOLOGIST

  • Clinical Psychologist
  • Valley Stream, NY
National Provider Identifier
1639249204
Registry record updated Sep 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
015795-1 Issued in NY
Practice address
585 Flanders Dr
Valley Stream, NY 11581-3012
Phone
(516) 620-6848
Fax
(516) 620-6848
NPI assigned
Nov 9, 2006
Last updated
Sep 7, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2007

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 015795-1 NY Primary

Addresses

Primary practice location

585 Flanders Dr
Valley Stream, NY 11581-3012

Mailing address

585 Flanders Dr
Valley Stream, NY 11581-3012
Phone (516) 620-6848

Other identifiers 3

IdentifierTypeStateIssuer
07968HOtherNYGHI PTAN
015795-1OtherNYLICENSE NUMBER
02574610MedicaidNY

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
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
015795NYMDMental Health Counselor
015795-1NYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Alternative Psychological Services Past Accepting new patients
Laura E Asner CSW PC PastSince May 1, 1995 Accepting new patients
Senior Citizens Care Group,LLP Clinical PastSince Aug 21, 1995 Accepting new patients
Metropolitan Psychological & Licensed Master Social Work Services PLLC Clinical Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189123200000",
    "number": "1639249204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "585 FLANDERS DR",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115813012",
            "telephone_number": "516-620-6848",
            "fax_number": "516-620-6848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "585 FLANDERS DR",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115813012",
            "telephone_number": "516-620-6848",
            "fax_number": "516-620-6848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAYZER-MILBERG",
        "first_name": "ALVERA",
        "name_prefix": "Dr.",
        "credential": "PSYCHOLOGIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-09",
        "last_updated": "2007-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "015795-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI PTAN",
            "identifier": "07968H",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "015795-1",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02574610",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Stream, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2007; 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.