DR. ALEXANDER JOSEPH HINNEBUSCH PH.D. NPI 1184124901

NPI Information

  • NPI: 1184124901
  • Provider Name: DR. ALEXANDER JOSEPH HINNEBUSCH, PH.D.
  • Classification: Psychologist - 103TC0700X
  • Specialization: Clinical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4758 LYNNVILLE WAY
    CLAY, NY
    ZIP 13041
  • Phone: (240) 274-0012

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NPI Details

DR. Alexander Joseph Hinnebusch, PH.D. is a clinical psychologist in Clay, NY. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. DR. Alexander Joseph Hinnebusch, PH.D. NPI is 1184124901. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4758 LYNNVILLE WAY
CLAY, NY
ZIP 13041-990
Phone: (240) 274-0012

The NPI 1184124901 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The enumeration date for this NPI number is 2/19/2018 and was last updated on 12/21/2022.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103G00000XClinical NeuropsychologistP.07748OHIONo
2103T00000XPsychologistP.07748OHIONo
3390200000XStudent in an Organized Health Care Education/Training Program6301016833MICHIGANNo
4103TC0700XPsychologistClinical025389-01NEW YORKYes

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: 11/21/2025

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