Bronx Individual & Family Psychology LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

102065 Issued in NY

Legal business name

BRONX INDIVIDUAL & FAMILY PSYCHOLOGY LLC

Practice address

22 E Kingsbridge Rd
Bronx, NY 10468-7596

Phone

(917) 801-1199

Fax

(917) 801-1198

NPI assigned

Nov 11, 2013

Last updated

Nov 11, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Maria Lydia Vayas, PSY.DNPI 1982034757

Title

Managing Member (Psychologist)

Phone

(917) 801-1199

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, and the practitioner matching its NPPES authorized official.

• Maria Lydia Vayas, PSY.D

  • Clinical Psychologist
  • Bronx, NY
  • NPI 1982034757
  Medicare reassignment NPD Authorized official
• Scott S. Altabet, LCSW

  • Clinical Social Worker
  • Bronx, NY
  • NPI 1467551226
  NPD (past)

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

{
    "created_epoch": "1384128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384128000000",
    "number": "1902235914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 E KINGSBRIDGE RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104687596",
            "telephone_number": "917-801-1199",
            "fax_number": "917-801-1198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 E KINGSBRIDGE RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104687596",
            "telephone_number": "917-801-1199",
            "fax_number": "917-801-1198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRONX INDIVIDUAL & FAMILY PSYCHOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-11",
        "last_updated": "2013-11-11",
        "status": "A",
        "authorized_official_last_name": "VAYAS",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "LYDIA",
        "authorized_official_title_or_position": "MANAGING MEMBER (PSYCHOLOGIST)",
        "authorized_official_telephone_number": "917-801-1199",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "102065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Bronx Home Care Services, Inc.
• Bronx in Motion Physical Therapy (Hartsdale In Motion Physical Therapy)
• Bronx Instant Care Inc
• Bronx Integrative Care NP in Family Health PLLC
• Bronx Internal Medicine
• Bronx Internal Medicine Associates P.C.
• Bronx Jewish Community Council -Home Attendant Services Inc

• Clinical Psychologist in Bronx, NY
• Providers in Bronx, 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 Nov 11, 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.