Individual provider Active NPI

Nicholas Ramazon

  • Clinical Child & Adolescent Psychologist
  • New York, NY
National Provider Identifier
1326821323
Registry record updated Apr 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
Practice address
1 Park Ave
New York, NY 10016-5802
Phone
(646) 754-5000
Fax
(646) 754-9538
NPI assigned
Aug 15, 2023
Last updated
Apr 27, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent Psychologist 103TC2200X NU Primary
School Psychologist 103TS0200X NU

Addresses

Primary practice location

1 Park Ave
New York, NY 10016-5802

Mailing address

500 E Washington St Ste 100
Ann Arbor, MI 48104-2057

Other practice location 1

210 S 5th Ave
Ann Arbor, MI 48104-2216
Phone (734) 764-3471

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Michigan Psychological Clinic CurrentSince Jul 28, 2024 Accepting new patients
University of Michigan-University Center for the Child and Family Clinical Child & Adolescent CurrentSince Jul 28, 2024 Accepting new patients
NYU Hospitals Center PastSince May 4, 2025 Accepting new patients

Locations

210 S 5th Ave
Ann Arbor, MI 48104
Phone (734) 615-7853

500 E Washington St
Ste 100
Ann Arbor, MI 48104
Phone (734) 763-3471

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1692057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745712000000",
    "number": "1326821323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 E WASHINGTON ST STE 100",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481042057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100165802",
            "telephone_number": "646-754-5000",
            "fax_number": "646-754-9538"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "210 S 5th Ave",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481042216",
            "country_code": "US",
            "telephone_number": "734-764-3471",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAMAZON",
        "first_name": "NICHOLAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-15",
        "last_updated": "2025-04-27",
        "certification_date": "2025-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "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 Apr 27, 2025; 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.