Active NPI
Gladys Acevedo, PHD
- Clinical Psychologist
- Bronx, NY
National Provider Identifier
1265568802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 0146981
- Practice address
- 34 24 Kossuth Avenue 4B
North Central Bronx Hosp Aopd
Bronx, NY 10467 - Phone
- (718) 519-3440
- Fax
- (718) 519-2497
- NPI assigned
- Feb 26, 2007
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 0146981 | NY | Primary |
Addresses
Primary practice location
34 24 Kossuth Avenue 4B
North Central Bronx Hosp Aopd
Bronx, NY 10467
Mailing address
6400 Saunders Street
Apt 1E
Rego Park, NY 11374-3120
Phone (718) 897-5095
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0146981 | NY | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1265568802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6400 SAUNDERS STREET",
"address_2": "APT 1E",
"city": "REGO PARK",
"state": "NY",
"postal_code": "113743120",
"telephone_number": "718-897-5095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34 24 KOSSUTH AVENUE 4B",
"address_2": "NORTH CENTRAL BRONX HOSP AOPD",
"city": "BRONX",
"state": "NY",
"postal_code": "10467",
"telephone_number": "718-519-3440",
"fax_number": "718-519-2497"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ACEVEDO",
"first_name": "GLADYS",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "0146981",
"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 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.