Active NPI
Alyssa Vega, PSY.D.
- School Psychologist
- Greenvale, NY
National Provider Identifier
1780119081
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 022091-1
- Practice address
- 21 Chestnut St
Greenvale, NY 11548-1104 - Phone
- (516) 629-4558
- NPI assigned
- Apr 24, 2017
- 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 |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 022091-1 | NY | Primary |
Addresses
Primary practice location
21 Chestnut St
Greenvale, NY 11548-1104
Mailing address
21 Chestnut St
Greenvale, NY 11548-1104
Phone (516) 629-4558
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 022091-1 | NY | MD | Pediatric Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539216000000",
"number": "1780119081",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 CHESTNUT ST",
"city": "GREENVALE",
"state": "NY",
"postal_code": "115481104",
"telephone_number": "516-629-4558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 CHESTNUT ST",
"city": "GREENVALE",
"state": "NY",
"postal_code": "115481104",
"telephone_number": "516-629-4558"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VEGA",
"first_name": "ALYSSA",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-24",
"last_updated": "2018-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "NY",
"license": "022091-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenvale, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.