Robert David Cardom, LP, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

022846 Issued in NY

Practice address

33 Woodlake Rd Ste 104
Albany, NY 12203-4057

Phone

(859) 421-9907

NPI assigned

Nov 21, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Robert David Odom Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1542758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542758400000",
    "number": "1962971762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 WOODLAKE RD APT 2",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122034057",
            "telephone_number": "859-421-9907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 WOODLAKE RD STE 104",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122034057",
            "telephone_number": "859-421-9907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDOM",
        "first_name": "ROBERT",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "LP, PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-11-21",
        "last_updated": "2018-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "022846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBERT",
            "last_name": "ODOM",
            "middle_name": "DAVID",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Laura Caracci
• William J Caramore, M.D.
• Jennifer Carangio, RN MSN-ED
• Elizabeth Carcich, LMSW
• Jennifer Payne Cardamone, LMSW
• Gabriela Beatriz Cardona, LMSW
• Rose Catherine Cardona, LMSW
• Katie Elizabeth Cardone, PHARMD
• Elizabeth Cardoso, NASM, CFN
• Care Bio Clinical Corp (National toxicology Center)

• Psychologist in Albany, NY
• Providers in Albany, NY by specialty
• Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.