Active NPI
Thomas A Conboy
- Psychiatry Physician
- Ogdensburg, NY
National Provider Identifier
1821113655
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 239743
- Practice address
- 1 Chimney Point Dr
Ogdensburg, NY 13669-2212 - Phone
- (315) 541-2001
- NPI assigned
- Mar 20, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 239743 | NY | Primary |
Addresses
Primary practice location
1 Chimney Point Dr
Ogdensburg, NY 13669-2212
Mailing address
500 Champlain Stret Apt C
Ogdensburg, NY 13669
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 239743 | Medicaid | NY |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 239743 | NY | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1821113655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 CHAMPLAIN STRET APT C",
"city": "OGDENSBURG",
"state": "NY",
"postal_code": "13669"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 CHIMNEY POINT DR",
"city": "OGDENSBURG",
"state": "NY",
"postal_code": "136692212",
"telephone_number": "315-541-2001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONBOY",
"first_name": "THOMAS",
"middle_name": "A",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "239743",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "239743",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ogdensburg, 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.