John M Ross PH.D Psychology PC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

005123 Issued in NY

Legal business name

JOHN M ROSS PH.D PSYCHOLOGY PC

Practice address

443 E 87TH St
New York, NY 10128-6501

Phone

(212) 289-6553

NPI assigned

Mar 3, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

John Mundor Ross, PHD

Title

President

Phone

(917) 273-6275

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1456963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539734400000",
    "number": "1003276015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 EAST END AVENUE",
            "address_2": "2L",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10128",
            "telephone_number": "917-273-6275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "443 E 87TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101286501",
            "telephone_number": "212-289-6553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN M ROSS PH.D PSYCHOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-03",
        "last_updated": "2018-10-17",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "MUNDOR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-273-6275",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NY",
            "license": "005123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in New York, NY
• Providers in New York, NY by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.