Individual provider Active NPI

Janette Rosalia Ramos-Acosta, PH.D.

  • Clinical Psychologist
  • Staten Island, NY
National Provider Identifier
1033380076
Registry record updated Feb 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
016798 Issued in NY
Practice address
1110 South Ave
Staten Island, NY 10314-3403
Phone
(609) 795-1997
NPI assigned
Mar 18, 2008
Last updated
Feb 4, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 016798 NY Primary

Addresses

Primary practice location

1110 South Ave
Staten Island, NY 10314-3403

Mailing address

400 Aspen Knolls Way
Apt B3
Staten Island, NY 10312-6625
Phone (718) 812-8314

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210301001220 NY Practitioner - Clinical Psychologist 9830505734 Practice locations: Staten Island, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1110 S Ave
Suite 62
Staten Island, NY 10314-3403
Phone (609) 795-1997

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
016798NYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Culturally Competent Compassionate Counseling LCSW PLLC Past Accepting new patients
Victory Behavioral Health Inc Clinical PastSince Sep 17, 2004 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1205798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612396800000",
    "number": "1033380076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 ASPEN KNOLLS WAY",
            "address_2": "APT B3",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103126625",
            "telephone_number": "718-812-8314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 SOUTH AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103143403",
            "telephone_number": "609-795-1997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMOS-ACOSTA",
        "first_name": "JANETTE",
        "middle_name": "ROSALIA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-18",
        "last_updated": "2021-02-04",
        "certification_date": "2021-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "016798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.