Active NPI
Christine Marie Ita, PSYD
- School Psychologist
- New York, NY
National Provider Identifier
1215233093
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 069518011
- Practice address
- 50 W 90TH St
D4
New York, NY 10024-1524 - Phone
- (212) 799-4760
- NPI assigned
- Jan 27, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 069518011 | NY | Primary |
Addresses
Primary practice location
50 W 90TH St
D4
New York, NY 10024-1524
Mailing address
30TH Avenue and 75TH Street
The Lexington Center for Mental Health Services, Inc.
Jackson HTS., NY 11370-1472
Phone (718) 350-3251
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 069518011 | NY | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1296086400000",
"number": "1215233093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30TH AVENUE AND 75TH STREET",
"address_2": "THE LEXINGTON CENTER FOR MENTAL HEALTH SERVICES, INC.",
"city": "JACKSON HTS.",
"state": "NY",
"postal_code": "113701472",
"telephone_number": "718-350-3251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 W 90TH ST",
"address_2": "D4",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100241524",
"telephone_number": "212-799-4760"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ITA",
"first_name": "CHRISTINE",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-01-27",
"last_updated": "2011-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "NY",
"license": "069518011",
"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 Jan 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.