Individual provider Active NPI

Joe Scroppo, PH.D.

  • Clinical Psychologist
  • Woodmere, NY
National Provider Identifier
1083698161
Registry record updated May 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
013277 Issued in NY
Practice address
999 Central Ave Ste 102
Woodmere, NY 11598-1205
Phone
(516) 791-1438
Fax
(800) 441-9772
NPI assigned
Dec 2, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2020

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 013277 NY Primary

Addresses

Primary practice location

999 Central Ave Ste 102
Woodmere, NY 11598-1205

Mailing address

Joe Scroppo, PH.D., J.D.
1209 E. Broadway Unit D 14
Hewlett, NY 11557-2429
Phone (516) 791-1438

Other identifiers 1

IdentifierTypeStateIssuer
02115855MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1133481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589500800000",
    "number": "1083698161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "JOE SCROPPO, PH.D., J.D.",
            "address_2": "1209 E. BROADWAY UNIT D 14",
            "city": "HEWLETT",
            "state": "NY",
            "postal_code": "115572429",
            "telephone_number": "516-791-1438",
            "fax_number": "800-441-9772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 CENTRAL AVE STE 102",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115981205",
            "telephone_number": "516-791-1438",
            "fax_number": "800-441-9772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCROPPO",
        "first_name": "JOE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-02",
        "last_updated": "2020-05-15",
        "certification_date": "2020-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "013277",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02115855",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodmere, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2020; 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.