Louis E Mora PHD Psychologist PC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

018957-1 Issued in NY

Legal business name

LOUIS E MORA PHD PSYCHOLOGIST PC

Practice address

70 Glen Cove Rd Ste 201
Roslyn Heights, NY 11577-1730

Phone

(347) 740-5690

NPI assigned

Dec 11, 2012

Organization subpart

No

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

Authorized official

Name

Louis MoraNPI 1336484112

Title

Owner

Phone

(347) 740-5690

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

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

• Louis Ernesto Mora, PHD

  • Psychologist
  • Bellport, NY
  • NPI 1336484112
  Medicare reassignment NPD Authorized official
• Anna Satalino, PH.D.

  • Clinical Psychologist
  • Sayville, NY
  • NPI 1104206051
  NPD (past)

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

{
    "created_epoch": "1355184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362614400000",
    "number": "1902141328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 GLEN COVE RD STE 201",
            "city": "ROSLYN HEIGHTS",
            "state": "NY",
            "postal_code": "115771730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 GLEN COVE RD STE 201",
            "city": "ROSLYN HEIGHTS",
            "state": "NY",
            "postal_code": "115771730",
            "telephone_number": "347-740-5690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUIS E MORA PHD PSYCHOLOGIST PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-11",
        "last_updated": "2013-03-07",
        "status": "A",
        "authorized_official_last_name": "MORA",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-740-5690"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "018957-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Roslyn Heights, NY
• Providers in Roslyn Heights, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2013; 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.