Active NPI
Thomas Conrey, PHD
- Psychologist
- Bayside, NY
National Provider Identifier
1972601946
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 9491
- Practice address
- 21615 Northern Blvd
Bayside, NY 11361 - Phone
- (718) 830-0246
- Fax
- (718) 830-9088
- NPI assigned
- Sep 21, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 9491 | NY | Primary |
Addresses
Primary practice location
21615 Northern Blvd
Bayside, NY 11361
Mailing address
98120 Queens Blvd
Apt 16
Rego Park, NY 11374
Phone (718) 830-0246
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 |
|---|---|---|---|
| 9491 | NY | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1972601946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "98120 QUEENS BLVD",
"address_2": "APT 16",
"city": "REGO PARK",
"state": "NY",
"postal_code": "11374",
"telephone_number": "718-830-0246",
"fax_number": "718-830-9088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21615 NORTHERN BLVD",
"city": "BAYSIDE",
"state": "NY",
"postal_code": "11361",
"telephone_number": "718-830-0246",
"fax_number": "718-830-9088"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONREY",
"first_name": "THOMAS",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "9491",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bayside, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.