Andrew Condey, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY5784 Issued in CA

Practice address

1496 Solano Ave
Albany, CA 94706-2148

Phone

(510) 525-5660

Fax

(510) 524-3770

NPI assigned

Apr 20, 2007

Sex

Male

Sole proprietor

Yes

Specialty

Clinical Psychologist

Education

Other, 1976

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 9, 2010.

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289260800000",
    "number": "1780802462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1496 SOLANO AVE",
            "city": "ALBANY",
            "state": "CA",
            "postal_code": "947062148",
            "telephone_number": "510-525-5660",
            "fax_number": "510-524-3770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1496 SOLANO AVE",
            "city": "ALBANY",
            "state": "CA",
            "postal_code": "947062148",
            "telephone_number": "510-525-5660",
            "fax_number": "510-524-3770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONDEY",
        "first_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-20",
        "last_updated": "2010-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY5784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Clark, PT
• Betsy Cohen, L.C.S.W.
• George David Cohen, LCSW
• Stefan B. Cohen, D.C.
• Evan Scott Collier, M.D.
• Kristen Blythe Conner, L.AC., C.M.T.
• Shawn Corne, PHD
• Frank Cortese, DDS
• Joseph Lloyd Cortese, DDS
• Vincent Frank Cortese

• All providers in Albany, CA
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2010; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.