Active NPI
Amy L. Hradil, PHD
- Clinical Neuropsychologist
- Edison, NJ
National Provider Identifier
1811325152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 35S100509600
- Practice address
- 2048 Oak Tree Road Center for Head Injuries
Cognitive Rehabilitation Progr
Edison, NJ 08820 - Phone
- (732) 906-2640
- Fax
- (732) 906-9241
- NPI assigned
- Oct 24, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 35S100509600 | NJ | Primary |
| Clinical Psychologist | 103TC0700X | 68019558 | NY |
Addresses
Primary practice location
2048 Oak Tree Road Center for Head Injuries
Cognitive Rehabilitation Progr
Edison, NJ 08820
Mailing address
2048 Oak Tree Road Center for Head Injuries
Cognitive Rehabilitation Progr
Edison, NJ 08820
Phone (732) 906-2640
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 68019558 | NY | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Hospital Group Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Specialist
- Edison, NJ
- NPI 1225251754
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1382572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1382572800000",
"number": "1811325152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2048 OAK TREE ROAD CENTER FOR HEAD INJURIES",
"address_2": "COGNITIVE REHABILITATION PROGR",
"city": "EDISON",
"state": "NJ",
"postal_code": "08820",
"telephone_number": "732-906-2640",
"fax_number": "732-906-9241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2048 OAK TREE ROAD CENTER FOR HEAD INJURIES",
"address_2": "COGNITIVE REHABILITATION PROGR",
"city": "EDISON",
"state": "NJ",
"postal_code": "08820",
"telephone_number": "732-906-2640",
"fax_number": "732-906-9241"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HRADIL",
"first_name": "AMY",
"middle_name": "L.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-10-24",
"last_updated": "2013-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "NJ",
"license": "35S100509600",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "68019558",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edison, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.