Individual provider Active NPI

Irina Volynsky, PHD

  • Psychologist
  • Fort Lee, NJ
National Provider Identifier
1184862997
Registry record updated Dec 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
68 017595 Issued in NY
Practice address
440 West St
Suite 23
Fort Lee, NJ 07024-5028
Phone
(917) 657-8925
NPI assigned
Feb 2, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 68 017595 NY Primary

Addresses

Primary practice location

440 West St
Suite 23
Fort Lee, NJ 07024-5028

Mailing address

440 West St
Suite 23
Fort Lee, NJ 07024-5028
Phone (917) 657-8925

Other names 1

  • Irina Volynskaya Former name

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)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
68 017595NYMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1233532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261094400000",
    "number": "1184862997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 WEST ST",
            "address_2": "SUITE 23",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070245028",
            "telephone_number": "917-657-8925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 WEST ST",
            "address_2": "SUITE 23",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070245028",
            "telephone_number": "917-657-8925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOLYNSKY",
        "first_name": "IRINA",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-02",
        "last_updated": "2009-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "68 017595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IRINA",
            "last_name": "VOLYNSKAYA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Lee, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2009; 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.