Individual provider Active NPI

Patricia Veronica Imbimbo, PH.D.

  • Psychologist
  • New York, NY
National Provider Identifier
1215066600
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
009529 Issued in NY
Practice address
220 W 93Rd St
Apt. 4D
New York, NY 10025-7411
Phone
(212) 769-2776
NPI assigned
Mar 3, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 009529 NY Primary

Addresses

Primary practice location

220 W 93Rd St
Apt. 4D
New York, NY 10025-7411

Mailing address

220 W 93Rd St
Apt. 4D
New York, NY 10025-7411
Phone (212) 769-2776

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

NPI Registry JSON

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

{
    "created_epoch": "1172880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215066600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 W 93RD ST",
            "address_2": "APT. 4D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100257411",
            "telephone_number": "212-769-2776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 W 93RD ST",
            "address_2": "APT. 4D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100257411",
            "telephone_number": "212-769-2776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IMBIMBO",
        "first_name": "PATRICIA",
        "middle_name": "VERONICA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "009529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.