Individual provider Active NPI

Marco Ruben Barahona, MS

  • School Psychologist
  • Bronx, NY
National Provider Identifier
1245666346
Registry record updated Sep 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
Practice address
2465 Bathgate Ave
Bronx, NY 10458-5928
Phone
(718) 367-5917
NPI assigned
Sep 20, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X NY Primary

Addresses

Primary practice location

2465 Bathgate Ave
Bronx, NY 10458-5928

Mailing address

618 E 3Rd St
Brooklyn, NY 11218-4910
Phone (718) 367-5917

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
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1379635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379635200000",
    "number": "1245666346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 E 3RD ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112184910",
            "telephone_number": "718-367-5917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2465 BATHGATE AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104585928",
            "telephone_number": "718-367-5917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARAHONA",
        "first_name": "MARCO",
        "middle_name": "RUBEN",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-09-20",
        "last_updated": "2013-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2013; 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.