DR. ALICE SAMANTHA DREYER PSY.D.
NPI 1952549032
Psychologist in Port Jefferson Station, NY

Active since January 28, 2009PECOS EnrolledAccepts Medicare Assignment
1050 HALLOCK AVE STE 2, PORT JEFFERSON STATION, NY 11776(631) 880-1178 Get Directions Write a Review

NPPES record last updated: January 30, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Alice Samantha Dreyer Psy.d. NPPES

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

DR. ALICE SAMANTHA DREYER PSY.D. (NPI 1952549032) is an individual psychologist in Port Jefferson Station, New York, licensed in New York (017743) and active in the NPI registry since January 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1952549032
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. ALICE SAMANTHA DREYERCredential: PSY.D.
Location Address1050 HALLOCK AVE STE 2Port Jefferson Station, NY 11776-1214
Mailing Address1050 Hallock Ave Ste 2Port Jefferson Station, NY 11776-1214 · (631) 880-1178
Sole ProprietorYes
Medical School CMSOtherGraduated 2006
Enumeration DateJanuary 28, 2009
Last NPPES UpdateJanuary 30, 2024
NPPES CertifiedJanuary 30, 2024
NPI 1952549032 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in NY · 017743
Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

1050 HALLOCK AVE STE 2, Port Jefferson Station, NY 11776

Other Names 1

Former Name (1)Alice Samantha Thibodeau Psy.d.

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. Alice Samantha Dreyer Psy.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 ID9335296896
PECOS Enrollment IDI20090421000073
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.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
1050 HALLOCK AVE STE 2
PORT JEFFERSON STATION, NY 11776
Social Worker (Clinical)
1050 HALLOCK AVE STE 2
PORT JEFFERSON STATION, NY 11776

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 Alice Dreyer's NPI number?

The NPI number for Alice Dreyer is 1952549032. It was assigned to this individual provider in the NPPES registry on January 28, 2009. The provider is also known as Alice Samantha Thibodeau Psy.D..

Where is Alice Dreyer located?

Alice Dreyer practices at 1050 Hallock Ave Ste 2, Port Jefferson Station, NY 11776. The listed phone number is (631) 880-1178.

What is Alice Dreyer's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Alice Dreyer enrolled in Medicare?

Yes. Alice Dreyer 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.

When was this NPI record last updated?

The NPPES record for Alice Dreyer was last updated on January 30, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.