Paula Maria Ippolito, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

006998-1 Issued in NY

Practice address

200 W 86TH St Apt 1J
New York, NY 10024-3326

Phone

(212) 874-7348

Fax

(718) 884-5307

NPI assigned

Jan 30, 2007

Last updated

Feb 5, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202169600000",
    "number": "1144367319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W 86TH ST APT 1J",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100243326",
            "telephone_number": "212-874-7348",
            "fax_number": "718-884-5307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W 86TH ST APT 1J",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100243326",
            "telephone_number": "212-874-7348",
            "fax_number": "718-884-5307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IPPOLITO",
        "first_name": "PAULA",
        "middle_name": "MARIA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2008-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "006998-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Selcuk Ipek
• Lisa S. Ipp, MD
• Brianne R Ippolito, DPT
• Christina Ippolito, DC, MS, L.AC
• Jessica Marie Ippolito, PT, DPT
• Iq Wellness Physical Therapy
• Anum Iqbal
• Aroubah Iqbal, MD
• Fatima Iqbal, MBBS
• Iman Noor Iqbal

• Clinical Psychologist in New York, NY
• Providers in New York, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2008; 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.