Individual provider Active NPI

Jaime Savoie

  • Psychologist
  • Latham, NY
National Provider Identifier
1790364552
Registry record updated Apr 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
02422601
Practice address
4 Avis Dr Ste 101
Latham, NY 12110-2650
Phone
(518) 560-4277
Fax
(518) 662-4277
NPI assigned
Apr 7, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 02422601 Primary

Addresses

Primary practice location

4 Avis Dr Ste 101
Latham, NY 12110-2650

Mailing address

4 Avis Dr Ste 101
Latham, NY 12110-2650
Phone (518) 560-4277

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
I20241120002472 NY Order and Referring Only - Clinical Psychologist 1153856638

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
024226NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Romero Oncology, PLLC CurrentSince Apr 11, 2021 Accepting new patients
Freedom First Psychological Services, PLLC CurrentSince Apr 11, 2021 Accepting new patients

Locations

4 Avis Dr
Ste 101
Latham, NY 12110
Phone (518) 560-4277

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1617753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617753600000",
    "number": "1790364552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 AVIS DR STE 101",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121102650",
            "telephone_number": "518-560-4277",
            "fax_number": "518-662-4277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 AVIS DR STE 101",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121102650",
            "telephone_number": "518-560-4277",
            "fax_number": "518-662-4277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAVOIE",
        "first_name": "JAIME",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-07",
        "last_updated": "2021-04-07",
        "certification_date": "2021-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": "02422601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Latham, NY

Sources for this page

Verify at the official NPI Registry.