NPIMap

Organization Active NPI

ADHD & Autism Psychological Services and Advocacy, PLLC

  • Clinical Psychologist
  • Utica, NY
National Provider Identifier
1831409663
Registry record updated Aug 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
ADHD & AUTISM PSYCHOLOGICAL SERVICES AND ADVOCACY, PLLC
Practice address
122 Business Park Dr
Suite 1
Utica, NY 13502-6321
Phone
(315) 732-3431
Fax
(866) 822-2343
NPI assigned
Oct 14, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2019

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

Authorized official

Name
Dr. Andy Lopez-WilliamsNPI 1144276940
Title
President & Clinical Director
Phone
(315) 732-3431

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

122 Business Park Dr
Suite 1
Utica, NY 13502-6321

Mailing address

122 Business Park Dr
Suite 1
Utica, NY 13502-6321
Phone (315) 732-3431

Other identifiers 1

IdentifierTypeStateIssuer
02923742MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111112000002 NY Part B Supplier - Clinic/Group Practice 1355515156 Receives reassigned benefits from 4 practitioners
Practice locations: Utica, NY

National Provider Directory

National Provider Directory
Tax ID family
ADHD Autism Psychological Services and Advocacy PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1287014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566172800000",
    "number": "1831409663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 BUSINESS PARK DR",
            "address_2": "SUITE 1",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135026321",
            "telephone_number": "315-732-3431",
            "fax_number": "866-822-2343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 BUSINESS PARK DR",
            "address_2": "SUITE 1",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135026321",
            "telephone_number": "315-732-3431",
            "fax_number": "866-822-2343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADHD & AUTISM PSYCHOLOGICAL SERVICES AND ADVOCACY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-14",
        "last_updated": "2019-08-19",
        "status": "A",
        "authorized_official_last_name": "LOPEZ-WILLIAMS",
        "authorized_official_first_name": "ANDY",
        "authorized_official_title_or_position": "PRESIDENT & CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "315-732-3431",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02923742",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Utica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.