Individual provider Active NPI

Vaia Tsolas, PHD

  • Clinical Psychologist
  • New York, NY
National Provider Identifier
1255505475
Registry record updated Feb 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
016893 Issued in NY
Practice address
330 W 58TH St Ste 409
New York, NY 10019-1820
Phone
(212) 221-4567
NPI assigned
Apr 17, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 016893 NY Primary

Addresses

Primary practice location

330 W 58TH St Ste 409
New York, NY 10019-1820

Mailing address

286 Madison Ave Ste PH
New York, NY 10017-6345
Phone (917) 623-7645

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
016893NYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
VM Psychological Services, Inc Current Accepting new patients

Locations

330 W 58th St
Ste 409
New York, NY 10019
Phone (212) 221-4567

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1208390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517961600000",
    "number": "1255505475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "286 MADISON AVE STE PH",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100176345",
            "telephone_number": "917-623-7645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 W 58TH ST STE 409",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100191820",
            "telephone_number": "212-221-4567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TSOLAS",
        "first_name": "VAIA",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-17",
        "last_updated": "2018-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "016893",
            "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 Feb 7, 2018; 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.