Active NPI
Justin A. Moccio, M.A.
- School Psychologist
- Poughkeepsie, NY
National Provider Identifier
1881017887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 931868
- Practice address
- 115 Delafield St
Poughkeepsie, NY 12601-1749 - Phone
- (845) 483-5000
- NPI assigned
- Jan 27, 2014
- 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 |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 931868 | NY | Primary |
Addresses
Primary practice location
115 Delafield St
Poughkeepsie, NY 12601-1749
Mailing address
115 Delafield St
Poughkeepsie, NY 12601-1749
Phone (845) 483-5000
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 931868 | NY | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1390780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392076800000",
"number": "1881017887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 DELAFIELD ST",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "126011749",
"telephone_number": "845-483-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 DELAFIELD ST",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "126011749",
"telephone_number": "845-483-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOCCIO",
"first_name": "JUSTIN",
"middle_name": "A.",
"name_prefix": "Mr.",
"credential": "M.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-01-27",
"last_updated": "2014-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "NY",
"license": "931868",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Poughkeepsie, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.