Active NPI
H. Michael Peter, PH.D.
- Psychologist
- Binghamton, NY
National Provider Identifier
1811980808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 4903
- Practice address
- 6 Brevity CT
Binghamton, NY 13905-4114 - Phone
- (607) 729-5232
- Fax
- (607) 729-5232
- NPI assigned
- Aug 25, 2005
- 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 | 4903 | NY | Primary |
Addresses
Primary practice location
6 Brevity CT
Binghamton, NY 13905-4114
Mailing address
6 Brevity CT
Binghamton, NY 13905-4114
Phone (607) 729-5232
Other identifiers 16
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 137232 | Other | NY | VALUE OPTIONS FOR HORIZONS OF NJ |
| Y022597 | Other | NY | CHAMPUS |
| 110706 | Other | NY | MHN |
| 116574 | Other | NY | BEHAVIORAL HEALTH NETWORK |
| 392986 | Other | NY | MVP |
| 093500000 | Other | NY | MAGELLAN |
| 21723 | Other | NY | NATIONAL REGISTER |
| P01808 | Other | NY | NYSPA |
| 0033013 | Other | NY | VALUE OPTIONS--EMPIRE |
| 01555215 | Medicaid | NY | |
| 10048886 | Other | NY | CDPHP |
| 1443-4363 | Other | NY | APA |
| 87726 | Other | NY | UNITED BEHAVIORAL HEALTH |
| S04903-1B | Other | NY | WORKER'S COMP |
| 61-24393 | Other | NY | UNITED HEALTH CARE |
| 72416 | Other | NY | UPSTATE ADMINISTRATIVE SERVICES |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Oct 1, 2015 through Oct 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4903 | NY | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209513600000",
"number": "1811980808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 BREVITY CT",
"city": "BINGHAMTON",
"state": "NY",
"postal_code": "139054114",
"telephone_number": "607-729-5232",
"fax_number": "607-729-5232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 BREVITY CT",
"city": "BINGHAMTON",
"state": "NY",
"postal_code": "139054114",
"telephone_number": "607-729-5232",
"fax_number": "607-729-5232"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETER",
"first_name": "H.",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-25",
"last_updated": "2008-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "4903",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS FOR HORIZONS OF NJ",
"identifier": "137232",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS",
"identifier": "Y022597",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHN",
"identifier": "110706",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BEHAVIORAL HEALTH NETWORK",
"identifier": "116574",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP",
"identifier": "392986",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "093500000",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATIONAL REGISTER",
"identifier": "21723",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NYSPA",
"identifier": "P01808",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS--EMPIRE",
"identifier": "0033013",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01555215",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDPHP",
"identifier": "10048886",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "APA",
"identifier": "1443-4363",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED BEHAVIORAL HEALTH",
"identifier": "87726",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WORKER'S COMP",
"identifier": "S04903-1B",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "61-24393",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPSTATE ADMINISTRATIVE SERVICES",
"identifier": "72416",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Binghamton, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2008; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.