National Provider Identifier
Michael Phillip Santa Maria, PH.D.
Michael Phillip Santa Maria, PH.D. is listed in the NPPES registry with a primary specialty of Clinical Neuropsychologist in Williamsville, NY and a listed phone number of (716) 687-8748.
Profile Overview
- NPI
- 1356440614
- Provider Type
- Individual
- Primary Specialty
- Clinical Neuropsychologist
- Enumeration Date
- September 22, 2006
- Last Updated
- June 21, 2024
Practice Location
- 1825 Maple RD Ste 200
- Williamsville, NY 14221-2779
Phone: (716) 687-8748
Mailing Address
- 1825 Maple RD Ste 200
- Buffalo, NY 14221-2779
Specialties
- Clinical Neuropsychologist (103G00000X)
Full Record
- NPI
- 1356440614
- Entity Type
- Individual
- Last Name
- Santa Maria
- First Name
- Michael
- Middle Name
- Phillip
- Name Prefix
- Dr.
- Credential
- PH.D.
- Mailing Street Address
- 1825 Maple RD Ste 200
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14221-2779
- Mailing Country
- US
- Mailing Phone
- (716) 687-8748
- Mailing Fax
- (716) 687-8753
- Practice Street Address
- 1825 Maple RD Ste 200
- Practice City
- Williamsville
- Practice State
- NY
- Practice ZIP Code
- 14221-2779
- Practice Country
- US
- Practice Phone
- (716) 687-8748
- Practice Fax
- (716) 687-8753
- Enumeration Date
- September 22, 2006
- Last Updated
- June 21, 2024
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- June 21, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Neuropsychologist (103G00000X)
- Other Identifiers
- 00025453102 (NY, Univera Provider Number), 492457 (NY, Value Options), 000526368004 (NY, Blue Cross/Community Blue), 02186592 (NY), 9711291 (NY, Independent Health)