Active NPI
Justin Tourot, MS CAS
- School Psychologist
- Oswego, NY
National Provider Identifier
1760928139
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 1207212
- Practice address
- 159 W 1St St
Oswego, NY 13126-2045 - Phone
- (315) 342-9575
- NPI assigned
- Jan 10, 2017
- Sex
- Male
- Sole proprietor
- Yes
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 | 1207212 | NY | Primary |
Addresses
Primary practice location
159 W 1St St
Oswego, NY 13126-2045
Mailing address
9759 Ethel Rd
Brewerton, NY 13029-9753
Phone (585) 519-6426
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 |
|---|---|---|---|
| 1207212 | NY | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484006400000",
"number": "1760928139",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9759 ETHEL RD",
"city": "BREWERTON",
"state": "NY",
"postal_code": "130299753",
"telephone_number": "585-519-6426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "159 W 1ST ST",
"city": "OSWEGO",
"state": "NY",
"postal_code": "131262045",
"telephone_number": "315-342-9575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOUROT",
"first_name": "JUSTIN",
"credential": "MS CAS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-01-10",
"last_updated": "2017-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "NY",
"license": "1207212",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oswego, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.