Active NPI
John Martin Gregory, PH.D.
- Clinical Psychologist
- Ardsley, NY
National Provider Identifier
1952430316
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 006628
- Practice address
- 17 Concord Rd
Ardsley, NY 10502-1111 - Phone
- (914) 693-2127
- NPI assigned
- Mar 3, 2007
- Last updated
- Aug 12, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 006628 | NY | Primary |
Addresses
Primary practice location
17 Concord Rd
Ardsley, NY 10502-1111
Mailing address
17 Concord Rd
Ardsley, NY 10502-1111
Phone (914) 693-2127
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P1014096 | Other | NY | OXFORD HEALTH PLAN ID |
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006628 | NY | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597190400000",
"number": "1952430316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 CONCORD RD",
"city": "ARDSLEY",
"state": "NY",
"postal_code": "105021111",
"telephone_number": "914-693-2127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 CONCORD RD",
"city": "ARDSLEY",
"state": "NY",
"postal_code": "105021111",
"telephone_number": "914-693-2127"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREGORY",
"first_name": "JOHN",
"middle_name": "MARTIN",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-03",
"last_updated": "2020-08-12",
"certification_date": "2020-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "006628",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD HEALTH PLAN ID",
"identifier": "P1014096",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ardsley, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.