Active NPI
Donna Czarnecki, PHD.
- Clinical Neuropsychologist
- Orchard Park, NY
National Provider Identifier
1740343219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 011196
- Practice address
- 200 Sterling Dr
Orchard Park, NY 14127-1558 - Phone
- (716) 250-2000
- NPI assigned
- Dec 18, 2006
- 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 |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 011196 | NY | Primary |
Addresses
Primary practice location
200 Sterling Dr
Orchard Park, NY 14127-1558
Mailing address
3980 Sheridan Dr
Amherst, NY 14226-1727
Phone (716) 250-2000
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000511566002 | Other | NY | BLUE CROSS & BLUE SHIELD |
| 01375259 | Medicaid | NY | |
| 9705954 | Other | NY | INDEPENDENT HEALTH |
| S11196 | Other | NY | WCB |
| 680013208 | Other | NM | RAILROAD MEDICARE |
| 00020012701 | Other | NY | UNIVERA |
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011196 | NY | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487635200000",
"number": "1740343219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3980 SHERIDAN DR",
"city": "AMHERST",
"state": "NY",
"postal_code": "142261727",
"telephone_number": "716-250-2000",
"fax_number": "716-250-2040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 STERLING DR",
"city": "ORCHARD PARK",
"state": "NY",
"postal_code": "141271558",
"telephone_number": "716-250-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CZARNECKI",
"first_name": "DONNA",
"credential": "PHD.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-18",
"last_updated": "2017-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "NY",
"license": "011196",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS & BLUE SHIELD",
"identifier": "000511566002",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01375259",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENT HEALTH",
"identifier": "9705954",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WCB",
"identifier": "S11196",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "680013208",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERA",
"identifier": "00020012701",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Orchard Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.