Active NPI
Peiyi He
- Clinical Psychologist
- Stony Brook, NY
National Provider Identifier
1760030639
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 025243
- Practice address
- 1 Stadium Rd
Stony Brook, NY 11794-1403 - Phone
- (631) 632-6720
- NPI assigned
- Sep 3, 2019
- 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 Psychologist | 103TC0700X | 025243 | NY | Primary |
Addresses
Primary practice location
1 Stadium Rd
Stony Brook, NY 11794-1403
Mailing address
1 Stadium Rd
Stony Brook, NY 11794-1403
Phone (631) 632-6720
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670371200000",
"number": "1760030639",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 STADIUM RD",
"city": "STONY BROOK",
"state": "NY",
"postal_code": "117941403",
"telephone_number": "631-632-6720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 STADIUM RD",
"city": "STONY BROOK",
"state": "NY",
"postal_code": "117941403",
"telephone_number": "631-632-6720"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HE",
"first_name": "PEIYI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-03",
"last_updated": "2022-12-07",
"certification_date": "2022-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "025243",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stony Brook, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.