Individual provider Active NPI

Ann Bard Whitmarsh, PHD

  • Psychologist
  • New York, NY
National Provider Identifier
1275518292
Registry record updated Feb 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
0141521 Issued in NY
Practice address
24 5TH Ave
Ground Floor Suite
New York, NY 10011-8858
Phone
(212) 260-7286
NPI assigned
Dec 13, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 0141521 NY Primary

Addresses

Primary practice location

24 5TH Ave
Ground Floor Suite
New York, NY 10011-8858

Mailing address

115 East 9 Street
Apt 2K
New York, NY 10003-5415
Phone (212) 260-7286

Other identifiers 1

IdentifierTypeStateIssuer
02046115MedicaidNY

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)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
0141521NYMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265241600000",
    "number": "1275518292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 EAST 9 STREET",
            "address_2": "APT 2K",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100035415",
            "telephone_number": "212-260-7286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 5TH AVE",
            "address_2": "GROUND FLOOR SUITE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100118858",
            "telephone_number": "212-260-7286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITMARSH",
        "first_name": "ANN",
        "middle_name": "BARD",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-13",
        "last_updated": "2010-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "0141521",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02046115",
            "state": "NY"
        }
    ],
    "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 4, 2010; 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.