Provider Demographics
NPI:1770144743
Name:AMES-SIKORA, ALYSSA (PHD)
Entity type:Individual
Prefix:DR
First Name:ALYSSA
Middle Name:
Last Name:AMES-SIKORA
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:ALYSSA
Other - Middle Name:
Other - Last Name:AMES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHD
Mailing Address - Street 1:155 WHITE PLAINS RD STE 203
Mailing Address - Street 2:
Mailing Address - City:TARRYTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10591-5523
Mailing Address - Country:US
Mailing Address - Phone:914-418-4126
Mailing Address - Fax:
Practice Address - Street 1:155 WHITE PLAINS RD STE 200
Practice Address - Street 2:
Practice Address - City:TARRYTOWN
Practice Address - State:NY
Practice Address - Zip Code:10591-5523
Practice Address - Country:US
Practice Address - Phone:914-631-4618
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-21
Last Update Date:2020-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103T00000X
NY024018103TB0200X, 103TC2200X, 103TC0700X
NYP102345103TB0200X, 103TC0700X, 103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent