Cajetan Okechukwu Uchendu, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

017458 Issued in NY

Practice address

4360 Douglaston Pkwy
221
Douglaston, NY 11363-1838

Phone

(718) 224-1533

NPI assigned

Jul 10, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206662400000",
    "number": "1992903108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4360 DOUGLASTON PKWY",
            "address_2": "221",
            "city": "DOUGLASTON",
            "state": "NY",
            "postal_code": "113631838",
            "telephone_number": "718-224-1533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4360 DOUGLASTON PKWY",
            "address_2": "221",
            "city": "DOUGLASTON",
            "state": "NY",
            "postal_code": "113631838",
            "telephone_number": "718-224-1533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UCHENDU",
        "first_name": "CAJETAN",
        "middle_name": "OKECHUKWU",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-10",
        "last_updated": "2008-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "017458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas J. Mata Ssa, P.T., P.C.
• Joseph Traegler, MS.ED, SBL
• Stephanie Trieu
• Vivian Tsai, M.D.
• Sandra Tylipakis, CCC-SLP
• Universa Inc.
• Damaris Vazquez-Beattie, RN
• Jennifer Veliz
• Janet B Vergara, LCSW
• Cynthia Wagner, LCSW

• Clinical Psychologist in Douglaston, NY
• Providers in Douglaston, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2008; 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.