Active NPI
Ricardo Rieppi, PH.D.
- Clinical Psychologist
- New York, NY
National Provider Identifier
1003969932
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 016278
- Practice address
- 330 W 58TH St Ste 404
New York, NY 10019-1820 - Phone
- (212) 547-8805
- NPI assigned
- Jan 22, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 016278 | NY | Primary |
Addresses
Primary practice location
330 W 58TH St Ste 404
New York, NY 10019-1820
Mailing address
330 W 58TH St Ste 404
New York, NY 10019-1820
Phone (212) 547-8805
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0009203093 | Other | NY | AETNA |
| 0009203093 | Other | NY | AETNA STUDENT HEALTH PIN |
| P3593357 | Other | NY | OXFORD HEALTH INSURANCE PROVIDER ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Oct 1, 2023 through Oct 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 016278 | NY | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548806400000",
"number": "1003969932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 W 58TH ST STE 404",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100191820",
"telephone_number": "212-547-8805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 W 58TH ST STE 404",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100191820",
"telephone_number": "212-547-8805"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIEPPI",
"first_name": "RICARDO",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-22",
"last_updated": "2019-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "016278",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0009203093",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA STUDENT HEALTH PIN",
"identifier": "0009203093",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD HEALTH INSURANCE PROVIDER ID",
"identifier": "P3593357",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.