Active NPI
Thomas Mamera
- Behavior Analyst
- Red Hook, NY
National Provider Identifier
1659615912
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1052330
- Practice address
- 40 Devereux Way
Red Hook, NY 12571-0040 - Phone
- (845) 758-8902
- NPI assigned
- Nov 26, 2012
- Last updated
- Nov 26, 2012
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1052330 | NY | Primary |
Addresses
Primary practice location
40 Devereux Way
Red Hook, NY 12571-0040
Mailing address
345 Gardnerville Rd
New Hampton, NY 10958-0345
Phone (845) 697-5138
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1052330 | NY | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1353888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1353888000000",
"number": "1659615912",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "345 GARDNERVILLE RD",
"city": "NEW HAMPTON",
"state": "NY",
"postal_code": "109580345",
"telephone_number": "845-697-5138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 DEVEREUX WAY",
"city": "RED HOOK",
"state": "NY",
"postal_code": "125710040",
"telephone_number": "845-758-8902"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAMERA",
"first_name": "THOMAS",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-11-26",
"last_updated": "2012-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NY",
"license": "1052330",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Red Hook, NY
- Rebecca Lewis
- Meghan Libby, RN
- Timothy Stetson Louer, PHARMD
- Rachel Ann Jones Loughran, M.S., CCC-SLP
- Maureen E. Lynch-Rinaldi, AU.D.
- Jeffrey George Mansfield, M.S.P.T.
- Maureen Rist Marchessault, LCSW-R
- Brenda J. Martin, LMT, CCA
- Martins Foods of South Burlington LLC (Hannaford Food and Drug)
- Holly W. Mauskapf, CCC-SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 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.