Focus Feedback Psychological and Occupational Therapy Services, PLLC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

020318 Issued in NY

Legal business name

FOCUS FEEDBACK PSYCHOLOGICAL AND OCCUPATIONAL THERAPY SERVICES, PLLC

Practice address

358 Veterans Memorial Hwy Ste 12
Commack, NY 11725

Phone

(631) 240-3030

NPI assigned

Dec 29, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Andreas C Michaelides, PHD

Title

Owner

Phone

(631) 240-3030

Specialties & licenses 2

Addresses

Other names 1

• Focus Feedback, PLLC Other name

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

{
    "created_epoch": "1514505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530057600000",
    "number": "1710494760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "358 VETERANS HWY STE 12",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117254326",
            "telephone_number": "631-240-3030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "358 VETERANS MEMORIAL HWY STE 12",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "11725",
            "telephone_number": "631-240-3030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOCUS FEEDBACK PSYCHOLOGICAL AND OCCUPATIONAL THERAPY SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-29",
        "last_updated": "2018-06-27",
        "status": "A",
        "authorized_official_last_name": "MICHAELIDES",
        "authorized_official_first_name": "ANDREAS",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-240-3030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "NY",
            "license": "020318",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "014831",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Focus Feedback, PLLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• James Eugene Fitzpatrick, RN
• Jaime Ellen Flanagan, MPT
• Jennifer Fletcher
• Leslie Flores
• Melany Flynn
• Vito Fodera, M.D.
• Jaclyn Foley, RD, MS, CDN, CNSC
• Foodandfitnesspro, LLC
• John Fox
• Laura Anne Fox, NP

• Psychologist in Commack, NY
• Providers in Commack, NY by specialty
• Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2018; 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.