Central New York Medical Practice, PLLC
NPI 1962765016ActiveOrganization· Psychologist, Clinical· Syracuse, NY
Psychologist, Clinical in Syracuse, New York, registered in NPPES in June 2012. The authorized official on file is Robert Myers, PHD, Executive Director.
Overview
| NPI | 1962765016 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 22, 2012 |
| Last updated in NPPES | Nov 12, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | — | — |
| Psychiatry & Neurology, Psychiatry | 2084P0800X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | Listed (NPI) | Excluded · since May 26, 2019 · NY |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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