Thomas Mamera

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1052330 Issued in NY

Practice address

40 Devereux Way
Red Hook, NY 12571-0040

Phone

(845) 758-8902

NPI assigned

Nov 26, 2012

Sex

Male

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 26, 2012.

{
    "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": []
}

• 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
• Holly W. Mauskapf, CCC-SLP

• All providers in Red Hook, NY
• Behavior Analyst in New York

• 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.

Verify at the official NPI Registry.