NPIMap

Organization Active NPI

Central New York Quest, Inc.

  • Clinical Psychologist
  • New York Mills, NY
National Provider Identifier
1649540063
Registry record updated Jan 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
017312-1 Issued in NY
Legal business name
CENTRAL NEW YORK QUEST, INC.
Practice address
587 Main St
Suite 108
New York Mills, NY 13417-1481
Phone
(315) 732-3431
Fax
(866) 822-2343
NPI assigned
Jan 2, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2012

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

Authorized official

Name
Dr. Andy Lopez-Williams, PHD
Title
Chief Executive Officer
Phone
(315) 732-3431

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X 017312-1 NY Primary

Addresses

Primary practice location

587 Main St
Suite 108
New York Mills, NY 13417-1481

Mailing address

587 Main St
Suite 108
New York Mills, NY 13417-1481
Phone (315) 732-3431

National Provider Directory

National Provider Directory

Locations

587 Main St
Ste 108
New York Mills, NY 13417

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1325462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325462400000",
    "number": "1649540063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "587 MAIN ST",
            "address_2": "SUITE 108",
            "city": "NEW YORK MILLS",
            "state": "NY",
            "postal_code": "134171481",
            "telephone_number": "315-732-3431",
            "fax_number": "866-822-2343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "587 MAIN ST",
            "address_2": "SUITE 108",
            "city": "NEW YORK MILLS",
            "state": "NY",
            "postal_code": "134171481",
            "telephone_number": "315-732-3431",
            "fax_number": "866-822-2343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL NEW YORK QUEST, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-02",
        "last_updated": "2012-01-02",
        "status": "A",
        "authorized_official_last_name": "LOPEZ-WILLIAMS",
        "authorized_official_first_name": "ANDY",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "315-732-3431",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "017312-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York Mills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2012; 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.