Individual provider Active NPI

Maria Lydia Vayas, PSY.D

  • Clinical Psychologist
  • Bronx, NY
National Provider Identifier
1982034757
Registry record updated Nov 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
19840 Issued in NY
Practice address
22 E Kingsbridge Rd
Bronx, NY 10468-7596
Phone
(917) 801-1199
Fax
(917) 801-1198
NPI assigned
Nov 15, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 19840 NY Primary
Clinical Psychologist 103TC0700X 04550 PR

Addresses

Primary practice location

22 E Kingsbridge Rd
Bronx, NY 10468-7596

Mailing address

22 E Kingsbridge Rd
Bronx, NY 10468-7596
Phone (917) 801-1199

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140203000221 NY Practitioner - Clinical Psychologist 4284863747 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2436 Eastchester Rd
Bronx, NY 10469-5916
Phone (917) 801-1199

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
19840NYMDClinical Psychologist
04550PRMDClinical Psychologist
019840NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bronx Individual & Family Psychology LLC Clinical CurrentSince Nov 1, 2013 Accepting new patients

Locations

2436 Eastchester Rd
Bronx, NY 10469
Phone (718) 881-4664

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1384473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384473600000",
    "number": "1982034757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 E KINGSBRIDGE RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104687596",
            "telephone_number": "917-801-1199",
            "fax_number": "917-801-1198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 E KINGSBRIDGE RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104687596",
            "telephone_number": "917-801-1199",
            "fax_number": "917-801-1198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAYAS",
        "first_name": "MARIA",
        "middle_name": "LYDIA",
        "credential": "PSY.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-15",
        "last_updated": "2013-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "19840",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "04550",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.