Individual provider Active NPI

Ann Viviano, PH.D.

  • Clinical Psychologist
  • New York, NY
National Provider Identifier
1083636237
Registry record updated Dec 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
006471-1 Issued in NY
Practice address
366 Amsterdam Ave
Suite 244
New York, NY 10024-6737
Phone
(212) 580-7778
Fax
(212) 851-3642
NPI assigned
Jul 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2008

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 006471-1 NY Primary

Addresses

Primary practice location

366 Amsterdam Ave
Suite 244
New York, NY 10024-6737

Mailing address

366 Amsterdam Ave
Suite 244
New York, NY 10024-6737
Phone (212) 580-7778

Other identifiers 1

IdentifierTypeStateIssuer
00872019MedicaidNY

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
I20040610001846 NY Practitioner - Clinical Psychologist 4486637386 Practice locations: New York, NY

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
006471-1NYMDAcupuncturist
006471NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Healthcare Services PLLC Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228176000000",
    "number": "1083636237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "366 AMSTERDAM AVE",
            "address_2": "SUITE 244",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100246737",
            "telephone_number": "212-580-7778",
            "fax_number": "212-851-3642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "366 AMSTERDAM AVE",
            "address_2": "SUITE 244",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100246737",
            "telephone_number": "212-580-7778",
            "fax_number": "212-851-3642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIVIANO",
        "first_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-24",
        "last_updated": "2008-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "006471-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00872019",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.