Dr. Jack Nocera, PhD
Psychologist in West Seneca, NY. Individual provider (NPI-1).
NPI number1104076546
StatusActive
Last updated in NPPESSep 23, 2008
Details
- NPI
- 1104076546
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jack Nocera
- Credential
- PhD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 23, 2008
- Last updated
- Sep 23, 2008
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | 012889 | NY | Yes |
Practice location
1200 East And West RdWest Seneca, NY 14224-3604
Phone 716-517-2302 · Fax 716-517-3716
Mailing address
1200 East And West RdWest Seneca, NY 14224-3604
Phone 716-517-2302 · Fax 716-517-3716
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 8 Psychologist providers in West Seneca · All 1,421 providers in West Seneca
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