Active NPI
Daniel Ryan Hoffman, C.A.S.
- Psychologist
- Albany, NY
National Provider Identifier
1689121774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 1074521161
- Practice address
- 53 Mercer St
Albany, NY 12203-3616 - Phone
- (845) 323-9639
- NPI assigned
- Sep 6, 2016
- Last updated
- Mar 3, 2017
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 1074521161 | NY | Primary |
Addresses
Primary practice location
53 Mercer St
Albany, NY 12203-3616
Mailing address
53 Mercer St
Albany, NY 12203-3616
Phone (845) 323-9639
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 |
|---|---|---|---|
| 1074521161 | NY | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488499200000",
"number": "1689121774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "53 MERCER ST",
"city": "ALBANY",
"state": "NY",
"postal_code": "122033616",
"telephone_number": "845-323-9639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "53 MERCER ST",
"city": "ALBANY",
"state": "NY",
"postal_code": "122033616",
"telephone_number": "845-323-9639"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOFFMAN",
"first_name": "DANIEL",
"middle_name": "RYAN",
"name_prefix": "Mr.",
"credential": "C.A.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-09-06",
"last_updated": "2017-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "1074521161",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albany, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.