Active NPI
Xiao Tong Tao
- Clinical Psychologist
- New York, NY
National Provider Identifier
1639481161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 021050
- Practice address
- 1240 Park Ave
New York, NY 10128-1753 - Phone
- (212) 659-1663
- NPI assigned
- Jul 13, 2010
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 021050 | NY | Primary |
Addresses
Primary practice location
1240 Park Ave
New York, NY 10128-1753
Mailing address
1240 Park Ave
New York, NY 10128-1753
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 021050 | NY | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688947200000",
"number": "1639481161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1240 PARK AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "101281753"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1240 PARK AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "101281753",
"telephone_number": "212-659-1663"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAO",
"first_name": "XIAO TONG",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-07-13",
"last_updated": "2023-07-10",
"certification_date": "2023-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "021050",
"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 Jul 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.