Active NPI
Stephen Andreopoulos Psychologist PC
- Clinical Psychologist
- Mineola, NY
National Provider Identifier
1932460730
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 015522
- Legal business name
- STEPHEN ANDREOPOULOS PSYCHOLOGIST PC
- Practice address
- 143 Willis Ave
Mineola, NY 11501-2610 - Phone
- (516) 739-0234
- NPI assigned
- Jun 7, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Stephen Harry Andreopoulos, PH.D.
- Title
- Clinical Director
- Phone
- (516) 739-0234
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 015522 | NY | Primary |
Addresses
Primary practice location
143 Willis Ave
Mineola, NY 11501-2610
Mailing address
143 Willis Ave
Mineola, NY 11501-2610
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02607936 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
47 N Franklin Tpke
#2
Ramsey, NJ 07446
Phone (201) 264-3445
143 Willis Ave
Ste 1
Mineola, NY 11501
Phone (516) 739-0234
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Mineola, NY
- NPI 1245626928
-
- Mental Health Counselor
- Bellrose, NY
- NPI 1346602067
-
- Addiction (Substance Use Disorder) Counselor
- Port Jefferson Station, NY
- NPI 1881181758
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339027200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1342656000000",
"number": "1932460730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "143 WILLIS AVE",
"city": "MINEOLA",
"state": "NY",
"postal_code": "115012610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "143 WILLIS AVE",
"city": "MINEOLA",
"state": "NY",
"postal_code": "115012610",
"telephone_number": "516-739-0234"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STEPHEN ANDREOPOULOS PSYCHOLOGIST PC",
"organizational_subpart": "NO",
"enumeration_date": "2012-06-07",
"last_updated": "2012-07-19",
"status": "A",
"authorized_official_last_name": "ANDREOPOULOS",
"authorized_official_first_name": "STEPHEN",
"authorized_official_middle_name": "HARRY",
"authorized_official_title_or_position": "CLINICAL DIRECTOR",
"authorized_official_telephone_number": "516-739-0234",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "015522",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02607936",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mineola, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2012; 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.