Active NPI
Aviva Beth Rohde, PHD
- Clinical Psychologist
- New York, NY
National Provider Identifier
1285669846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 011613
- Practice address
- 215 W 88TH St
Suite 1C
New York, NY 10024-2321 - Phone
- (212) 799-5119
- Fax
- (212) 799-5171
- NPI assigned
- Jul 12, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | 011613 | NY | Primary |
Addresses
Primary practice location
215 W 88TH St
Suite 1C
New York, NY 10024-2321
Mailing address
215 W 88TH St
Suite 1C
New York, NY 10024-2321
Phone (212) 799-5119
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 1, 2023 through Feb 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1285669846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 W 88TH ST",
"address_2": "SUITE 1C",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100242321",
"telephone_number": "212-799-5119",
"fax_number": "212-799-5171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 W 88TH ST",
"address_2": "SUITE 1C",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100242321",
"telephone_number": "212-799-5119",
"fax_number": "212-799-5171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROHDE",
"first_name": "AVIVA",
"middle_name": "BETH",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "011613",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.