Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. John P Vicedomini, PHD

Individual provider Clinical Psychologist · NPI 1487630877

Mr. John P Vicedomini, PHD is a Clinical Psychologist in Seaford, New York. Graduated from University of Kentucky College of Medicine in 1996, 30 years ago. Accepts Medicare assignment. Licensed in New York.

Years since qualifying
30
Trained at
University of Kentucky College of Medicine
Licensed in
NY
In the registry since
2005
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

1286 Shaw Pl
Seaford, NY 11783-1747
Phone: (516) 221-2032
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 0129651 (NY)

Record details

NPI number1487630877
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedDecember 19, 2005
Last updated in NPPESSeptember 9, 2011
Mailing address1286 Shaw Pl, Seaford, NY 11783-1747

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolUNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Graduated 1996 (30 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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