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ACADEMIC HEALTH PSYCHOLOGY ASSOCIATES P.C. NPI 1013049279


NPI Information

NPI: 1013049279
Provider Name: ACADEMIC HEALTH PSYCHOLOGY ASSOCIATES, P.C.
Classification: Psychologist - 103TB0200X
Entity Type: Organization

Specialization: Cognitive & Behavioral

Address:
462 GRIDER ST
ROOM G208
BUFFALO, NY
ZIP 14215
Phone: (716) 898-5671
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ACADEMIC HEALTH PSYCHOLOGY ASSOCIATES, P.C. is a cognitive and behavioral psychologist in Buffalo, NY. The provider is a psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking. ACADEMIC HEALTH PSYCHOLOGY ASSOCIATES, P.C. NPI is 1013049279. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

462 GRIDER ST
ROOM G208
BUFFALO, NY
ZIP 14215-021
Phone: (716) 898-5671
Fax: (716) 898-3040

The provider's authorized official is Jeffrey Mark Lackner .
The authorized official title is Owner and has the following contact phone number (716) 898-5671.

The enumeration date for this NPI number is 3/12/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TB0200XPsychologistCognitive & Behavioral012051-1NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100025302101OTHERNEW YORKUNIVERA ID NUMBER
2000523299002OTHERNEW YORKBLUE CROSS ID NUMBER
36108856OTHERNEW YORKIHA ID NUMBER
4DF1724OTHERNEW YORKRR MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.