Elizabeth Mary Didomenico, M.S.ED.

Primary specialty

School PsychologistTaxonomy code 103TS0200X

Practice address

16 W Haven Dr
East Northport, NY 11731-6532

Phone

(631) 617-2847

NPI assigned

May 11, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617753600000",
    "number": "1740717461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 W HAVEN DR",
            "city": "EAST NORTHPORT",
            "state": "NY",
            "postal_code": "117316532",
            "telephone_number": "631-617-2847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 W HAVEN DR",
            "city": "EAST NORTHPORT",
            "state": "NY",
            "postal_code": "117316532",
            "telephone_number": "631-617-2847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIDOMENICO",
        "first_name": "ELIZABETH",
        "middle_name": "MARY",
        "credential": "M.S.ED.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-11",
        "last_updated": "2021-04-07",
        "certification_date": "2021-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George M Devito, D.P.M.
• Alexandra Di Zoppola-Brown, OTR/L
• Valiant G Dia, D.C.
• Beth Sharon Diamond, LMSW
• Jennifer Dibenedetto
• Christie Dillon, MA EDUCATION
• Jessica Dingley, LMT
• Nancy Kali Dionisiou, LMT
• Jodie Nicole Dionne, LMHC
• Wendy Disilvestro, R.N.

• School Psychologist in East Northport, NY
• Providers in East Northport, NY by specialty
• School Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2021; 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.