Individual provider Active NPI

Margaret Momot-Baker, PH.D

  • Clinical Psychologist
  • East Greenbush, NY
National Provider Identifier
1699027318
Registry record updated Oct 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
019456 Issued in NY
Practice address
1070 Luther Rd
East Greenbush, NY 12061-4020
Phone
(518) 479-4662
Fax
(518) 477-4465
NPI assigned
Oct 4, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 019456 NY Primary

Addresses

Primary practice location

1070 Luther Rd
East Greenbush, NY 12061-4020

Mailing address

303 Merrick Rd
Suite 204
Lynbrook, NY 11563-2501
Phone (800) 725-6280

Other names 1

  • Margaret Momot Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

NPI Registry JSON

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

{
    "created_epoch": "1349308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349308800000",
    "number": "1699027318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 MERRICK RD",
            "address_2": "SUITE 204",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115632501",
            "telephone_number": "800-725-6280",
            "fax_number": "800-725-6380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1070 LUTHER RD",
            "city": "EAST GREENBUSH",
            "state": "NY",
            "postal_code": "120614020",
            "telephone_number": "518-479-4662",
            "fax_number": "518-477-4465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOMOT-BAKER",
        "first_name": "MARGARET",
        "credential": "PH.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-04",
        "last_updated": "2012-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "019456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARGARET",
            "last_name": "MOMOT",
            "credential": "PH.D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in East Greenbush, NY

Sources for this page

Verify at the official NPI Registry.