Active NPI
Central New York Medical Practice, PLLC
- Clinical Psychologist
- Syracuse, NY
National Provider Identifier
1962765016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- CENTRAL NEW YORK MEDICAL PRACTICE, PLLC
- Practice address
- 600 E Genesee St
Syracuse, NY 13202-3130 - Phone
- (315) 464-3157
- NPI assigned
- Jun 22, 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
- Robert Myers, PHD
- Title
- Executive Director
- Phone
- (315) 798-4040
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | Primary | ||
| Psychiatry Physician | 2084P0800X |
Addresses
Primary practice location
600 E Genesee St
Syracuse, NY 13202-3130
Mailing address
1601 Armory Dr
Building C
Utica, NY 13501-5405
Phone (315) 797-6241
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340323200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1352678400000",
"number": "1962765016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 ARMORY DR",
"address_2": "BUILDING C",
"city": "UTICA",
"state": "NY",
"postal_code": "135015405",
"telephone_number": "315-797-6241",
"fax_number": "315-749-7054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 E GENESEE ST",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132023130",
"telephone_number": "315-464-3157"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTRAL NEW YORK MEDICAL PRACTICE, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-06-22",
"last_updated": "2012-11-12",
"status": "A",
"authorized_official_last_name": "MYERS",
"authorized_official_first_name": "ROBERT",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "315-798-4040",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": true
},
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Robert Cenname, PA
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- Central New York DC, LLC
- Central New York Infusion Services, LLC
- Central New York Medical Products, Inc.
- Central New York Research Corperation
- Central New York Retinal Associates PC
- Central New York Services
- Central New York Services
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.