Individual provider Active NPI

James E. Cerio, PH.D.

  • Clinical Psychologist
  • Canton, NY
National Provider Identifier
1780764803
Registry record updated Dec 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
019160 Issued in NY
Practice address
91 Main St
Suite 200
Canton, NY 13617-1248
Phone
(315) 854-6074
Fax
(315) 714-3146
NPI assigned
Oct 16, 2006
Last updated
Dec 18, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 1859 MD
Clinical Psychologist 103TC0700X 019160 NY Primary

Addresses

Primary practice location

91 Main St
Suite 200
Canton, NY 13617-1248

Mailing address

PO Box 782
Canton, NY 13617-0782
Phone (315) 854-6074

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250411000324 NY Order and Referring Only - Clinical Psychologist 4284808031

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1859MDMDClinical Psychologist
019160NYMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cerio & Cerio Psychologists, P.a. Clinical PastSince Oct 24, 1988 Accepting new patients
Andrew Nowakowski, M.D., P.a. Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418860800000",
    "number": "1780764803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 782",
            "city": "CANTON",
            "state": "NY",
            "postal_code": "136170782",
            "telephone_number": "315-854-6074",
            "fax_number": "315-714-3146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 MAIN ST",
            "address_2": "SUITE 200",
            "city": "CANTON",
            "state": "NY",
            "postal_code": "136171248",
            "telephone_number": "315-854-6074",
            "fax_number": "315-714-3146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CERIO",
        "first_name": "JAMES",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2014-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "1859",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "019160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, NY

Sources for this page

Verify at the official NPI Registry.