Mayra Zoe Ortiz, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

15769 Issued in NY

Practice address

445 Hamilton Ave
1102
White Plains, NY 10601-1807

Phone

(917) 363-5706

NPI assigned

Aug 1, 2006

Last updated

Jun 14, 2013By 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

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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

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• Knapp Street Psychiatry, PC

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• Christopher Dennis MD PLLC

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  Clinical

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• CT Behavioral Health Services, PC

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  • NPI 1235257601
  NPD
• Clinical Psychassociates LLP

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  • New York, NY
  • NPI 1124051925
  NPD (past)

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371168000000",
    "number": "1194731844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 HAMILTON AVE",
            "address_2": "1102",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106011807",
            "telephone_number": "917-363-5706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 HAMILTON AVE",
            "address_2": "1102",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106011807",
            "telephone_number": "917-363-5706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ",
        "first_name": "MAYRA",
        "middle_name": "ZOE",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2013-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "15769",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02720547",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Javier Ortega, RPH
• Ortho Dynamic Limbs Corporation
• Orthonet LLC
• Orthonet New York Ipa, Inc.
• Orthonet of the Mid-Atlantic, Inc.
• Oscar Lopez Tamayo Speech Language Pathologist PLLC
• Pierre Oscar, PA
• Chloe Elizabeth Oshanani, DPT
• Lorena Osorio Correa
• Yanira Osorio, MHCLP

• Clinical Psychologist in White Plains, NY
• Providers in White Plains, 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 Jun 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.