Individual provider Active NPI

Eduvigis Cruz Arrieta, PHD

  • Clinical Psychologist
  • New York, NY
National Provider Identifier
1275560377
Registry record updated Mar 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
013922 Issued in NY
Practice address
25 Central Park W
Suite 1I
New York, NY 10023-7253
Phone
(646) 490-0654
NPI assigned
Jun 26, 2006
Last updated
Mar 20, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2015

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 013922 NY
Clinical Psychologist 103TC0700X 013922 NY Primary
Clinical Child & Adolescent Psychologist 103TC2200X 013922 NY
Health Psychologist 103TH0004X 013922 NY

Addresses

Primary practice location

25 Central Park W
Suite 1I
New York, NY 10023-7253

Mailing address

25 Central Park W
Suite 1I
New York, NY 10023-7253
Phone (646) 490-0654

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
013922NYMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426809600000",
    "number": "1275560377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 CENTRAL PARK W",
            "address_2": "SUITE 1I",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100237253",
            "telephone_number": "646-490-0654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 CENTRAL PARK W",
            "address_2": "SUITE 1I",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100237253",
            "telephone_number": "646-490-0654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ ARRIETA",
        "first_name": "EDUVIGIS",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-26",
        "last_updated": "2015-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NY",
            "license": "013922",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "013922",
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NY",
            "license": "013922",
            "primary": false
        },
        {
            "code": "103TH0004X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health",
            "state": "NY",
            "license": "013922",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.