Active NPI
Arp Psychological Services PC
- Assisted Living Facility
- Brooklyn, NY
National Provider Identifier
1124452057
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- 014641
- Legal business name
- ARP PSYCHOLOGICAL SERVICES PC
- Practice address
- 75 Pierrepont St
Brooklyn, NY 11201-2451 - Phone
- (917) 279-7297
- NPI assigned
- Aug 28, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Aris Rafael Peguero, PSYD
- Title
- Psychologist
- Phone
- (917) 279-7297
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 014641 | NY | Primary |
Addresses
Primary practice location
75 Pierrepont St
Brooklyn, NY 11201-2451
Mailing address
75 Pierrepont St
Brooklyn, NY 11201-2451
Phone (917) 279-7297
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02163931NY | Medicaid | NY |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377648000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1377648000000",
"number": "1124452057",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 PIERREPONT ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112012451",
"telephone_number": "917-279-7297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 PIERREPONT ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112012451",
"telephone_number": "917-279-7297"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ARP PSYCHOLOGICAL SERVICES PC",
"organizational_subpart": "NO",
"enumeration_date": "2013-08-28",
"last_updated": "2013-08-28",
"status": "A",
"authorized_official_last_name": "PEGUERO",
"authorized_official_first_name": "ARIS",
"authorized_official_middle_name": "RAFAEL",
"authorized_official_title_or_position": "PSYCHOLOGIST",
"authorized_official_telephone_number": "917-279-7297",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSYD"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "NY",
"license": "014641",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02163931NY",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.