Active NPI
Juliet Michelle Ross, PSYD
- Clinical Psychologist
- New York, NY
National Provider Identifier
1033317284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 017281
- Practice address
- 250 West 57TH Street
Suite 932
New York, NY 10107-0017 - Phone
- (917) 494-2736
- Fax
- (212) 313-9411
- NPI assigned
- Jul 10, 2007
- Sex
- Female
- 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 | 017281 | NY | Primary |
Addresses
Primary practice location
250 West 57TH Street
Suite 932
New York, NY 10107-0017
Mailing address
250 W 57TH St Ste 932
New York, NY 10107-0017
Phone (917) 494-2736
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Oct 1, 2017 through Oct 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524700800000",
"number": "1033317284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 W 57TH ST STE 932",
"city": "NEW YORK",
"state": "NY",
"postal_code": "101070017",
"telephone_number": "917-494-2736",
"fax_number": "212-313-9411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 WEST 57TH STREET",
"address_2": "SUITE 932",
"city": "NEW YORK",
"state": "NY",
"postal_code": "101070017",
"telephone_number": "917-494-2736",
"fax_number": "212-313-9411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSS",
"first_name": "JULIET",
"middle_name": "MICHELLE",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-10",
"last_updated": "2018-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "017281",
"primary": true
}
],
"identifiers": [],
"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 Apr 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.