Individual provider Active NPI

Tehela Nimroody, PH.D.

  • Clinical Psychologist
  • New York, NY
National Provider Identifier
1316146707
Registry record updated Feb 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
018775 Issued in NY
Practice address
250 E 65TH St
11G
New York, NY 10065-6616
Phone
(212) 721-2547
Fax
(212) 721-2547
NPI assigned
Jul 16, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2012

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 018775 NY Primary

Addresses

Primary practice location

250 E 65TH St
11G
New York, NY 10065-6616

Mailing address

250 E 65TH St
11G
New York, NY 10065-6616
Phone (212) 721-2547

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

NPI Registry JSON

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

{
    "created_epoch": "1184544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329436800000",
    "number": "1316146707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 E 65TH ST",
            "address_2": "11G",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100656616",
            "telephone_number": "212-721-2547",
            "fax_number": "212-721-2547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 E 65TH ST",
            "address_2": "11G",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100656616",
            "telephone_number": "212-721-2547",
            "fax_number": "212-721-2547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIMROODY",
        "first_name": "TEHELA",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-16",
        "last_updated": "2012-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "018775",
            "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 17, 2012; 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.