Active NPI
John Redmond Rooney Jr., PSY.D.
- Psychologist
- Congers, NY
National Provider Identifier
1801947411
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 015467
- Practice address
- 84 Jolliffe Ave
Congers, NY 10920-2006 - Phone
- (845) 267-0677
- Fax
- (845) 267-0677
- NPI assigned
- Jan 12, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 015467 | NY | Primary |
Addresses
Primary practice location
84 Jolliffe Ave
Congers, NY 10920-2006
Mailing address
84 Jolliffe Ave
Congers, NY 10920-2006
Phone (845) 267-0677
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 556873 | Other | VALUE OPTIONS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1801947411",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "84 JOLLIFFE AVE",
"city": "CONGERS",
"state": "NY",
"postal_code": "109202006",
"telephone_number": "845-267-0677",
"fax_number": "845-267-0677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "84 JOLLIFFE AVE",
"city": "CONGERS",
"state": "NY",
"postal_code": "109202006",
"telephone_number": "845-267-0677",
"fax_number": "845-267-0677"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROONEY",
"first_name": "JOHN",
"middle_name": "REDMOND",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "015467",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "556873",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Congers, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.