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DR. AMBER SOUSA PH.D.
NPI 1285093252
Clinical Neuropsychologist in Port Jefferson Station, NY

Active since February 18, 2016PECOS EnrolledAccepts Medicare Assignment
1050 HALLOCK AVE STE 1, PORT JEFFERSON STATION, NY 11776(631) 676-1962(631) 676-1959 Get Directions Write a Review

NPPES record last updated: February 18, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Amber Sousa Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. AMBER SOUSA PH.D. (NPI 1285093252) is an individual clinical neuropsychologist in Port Jefferson Station, New York, licensed in New York (0211671) and active in the NPI registry since February 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1285093252
Entity TypeIndividualFemale
Primary Taxonomy103G00000X
Provider Legal NameDR. AMBER SOUSACredential: PH.D.
Location Address1050 HALLOCK AVE STE 1Port Jefferson Station, NY 11776-1214
Mailing Address216 S 5th StLindenhurst, NY 11757-4621 · (631) 680-5646
Phone(631) 676-1962
Fax(631) 676-1959
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateFebruary 18, 2016
✔ NPI 1285093252 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
License✔ Licensed in NY · 0211671
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
1050 HALLOCK AVE STE 1, Port Jefferson Station, NY 11776
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Amber Sousa Ph.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2163711425
PECOS Enrollment IDI20160510002166
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amber Sousa's NPI number?

The NPI number for Amber Sousa is 1285093252. It was assigned to this individual provider in the NPPES registry on February 18, 2016.

Where is Amber Sousa located?

Amber Sousa practices at 1050 Hallock Ave Ste 1, Port Jefferson Station, NY 11776. The listed phone number is (631) 676-1962.

What is Amber Sousa's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is Amber Sousa enrolled in Medicare?

Yes. Amber Sousa is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Amber Sousa accept?

Health plans from Providence Health Plan list Amber Sousa as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Amber Sousa was last updated on February 18, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.