Carlos Prieto, PHD

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

13805-1 Issued in NY

Practice address

10 Plaza St E Ste 1D
Brooklyn, NY 11238-4939

Phone

(718) 636-1916

NPI assigned

Jun 13, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1655078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655078400000",
    "number": "1083344121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 PLAZA ST E STE 1D",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112384939",
            "telephone_number": "718-636-1916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 PLAZA ST E STE 1D",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112384939",
            "telephone_number": "718-636-1916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIETO",
        "first_name": "CARLOS",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-06-13",
        "last_updated": "2022-06-13",
        "certification_date": "2022-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NY",
            "license": "13805-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "cprieto@packer.edu",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "622 3rd St",
            "city": "Brooklyn",
            "state": "NY",
            "country_code": "US",
            "postal_code": "112153004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Julia Pridilaylo
• Rachel Elizabeth Priebe, MS, RDN
• Varda Priel Dabas, LMSW
• Natalia Priest
• Tanisha Priester-West, LMT
• Denise Prieto, PH.D.
• Nausika Prifti, DO
• Irina Primak, MS ED
• Primary Care Choice Medical Testing P.C
• Primary Diagnostic Imaging PC

• Clinical Neuropsychologist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Clinical Neuropsychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2022; 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.