Active NPI
Rebecca Avery, M.S. ED, CAS
- School Psychologist
- Delanson, NY
National Provider Identifier
1699155176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 942750151
- Practice address
- 2841 Thousand Acres Rd
Delanson, NY 12053-1917 - Phone
- (518) 875-6141
- NPI assigned
- Jun 1, 2015
- Sex
- Female
- 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 |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 942750151 | NY | Primary |
Addresses
Primary practice location
2841 Thousand Acres Rd
Delanson, NY 12053-1917
Mailing address
2841 Thousand Acres Rd
Delanson, NY 12053-1917
Phone (518) 875-6141
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 942750151 | Other | NY | NEW YORK STATE EDUCATION DEPARTMENT |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 942750151 | NY | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433116800000",
"number": "1699155176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2841 THOUSAND ACRES RD",
"city": "DELANSON",
"state": "NY",
"postal_code": "120531917",
"telephone_number": "518-875-6141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2841 THOUSAND ACRES RD",
"city": "DELANSON",
"state": "NY",
"postal_code": "120531917",
"telephone_number": "518-875-6141"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AVERY",
"first_name": "REBECCA",
"credential": "M.S. ED, CAS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-01",
"last_updated": "2015-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "NY",
"license": "942750151",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEW YORK STATE EDUCATION DEPARTMENT",
"identifier": "942750151",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Delanson, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.