MR. JOHN P VICEDOMINI PHD
NPI 1487630877
Psychologist - Clinical in Seaford, NY
About Mr. John P Vicedomini Phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. JOHN P VICEDOMINI PHD (NPI 1487630877) is an individual clinical provider in Seaford, New York, licensed in New York (0129651) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Kentucky College Of Medicine (1996).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 2
Accepted 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
Mr. John P Vicedomini Phd 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11783 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 John Vicedomini's NPI number?
The NPI number for John Vicedomini is 1487630877. It was assigned to this individual provider in the NPPES registry on December 19, 2005. The provider is also known as Mr. John P Vicedomini Phd PLLC.
Where is John Vicedomini located?
John Vicedomini practices at 1286 Shaw Pl, Seaford, NY 11783. The listed phone number is (516) 221-2032.
What is John Vicedomini's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is John Vicedomini enrolled in Medicare?
Yes. John Vicedomini 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 John Vicedomini accept?
Health plans from Providence Health Plan list John Vicedomini 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 John Vicedomini was last updated on September 9, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mr. John P Vicedomini, PHD · NPI 1487630877
Clinical provider in Seaford, New York. Individual provider, active in the CMS NPPES registry since December 19, 2005.
## Identity
- **NPI:** 1487630877 (Entity type: Individual)
- **Enumerated:** December 19, 2005
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** 0129651 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 1286 SHAW PL, Seaford, NY 11783-1747
- **Phone:** (516) 221-2032
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** University Of Kentucky College Of Medicine, class of 1996
## Record status
- **NPPES last updated:** September 9, 2011
- **Other identifiers:** Medicare ID-Type Unspecified V38971 (NY); Medicaid 01767748 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1487630877) · Data from the CMS NPPES public registry.