Robert Richard Demerath, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

010385 Issued in NY

Practice address

388 Evans St
Suite 303
Williamsville, NY 14221-5626

Phone

(716) 632-7066

Fax

(716) 632-7066

NPI assigned

Oct 17, 2005

Last updated

Sep 10, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1129507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189382400000",
    "number": "1801885595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "388 EVANS ST",
            "address_2": "SUITE 303",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142215626",
            "telephone_number": "716-632-7066",
            "fax_number": "716-632-7066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "388 EVANS ST",
            "address_2": "SUITE 303",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142215626",
            "telephone_number": "716-632-7066",
            "fax_number": "716-632-7066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMERATH",
        "first_name": "ROBERT",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-17",
        "last_updated": "2007-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "010385",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01276273",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "000511044003",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mara Lucia Decarvalho, B.S. PT
• Stephanie Deck, PHARMD
• Patricia Defazio, CRNA
• Donna K Deflippo, LPN
• Sandra Dellaria, RN
• Sara-Maude Demers, DC
• Patricia May Demma, LPN
• Sarah Madalyn Dempsey
• Marcus S Dempster, MD
• Jovonnie Dendy

• Psychologist in Williamsville, NY
• Providers in Williamsville, NY by specialty
• Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.