Individual provider Active NPI

Ann Marie T Nikola, PSY.D.

  • Clinical Psychologist
  • New York, NY
National Provider Identifier
1376730960
Registry record updated Dec 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
018682 Issued in NY
Practice address
2139 Adam Clayton Powell Jr Blvd
New York, NY 10027-3719
Phone
(347) 455-9141
NPI assigned
Sep 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2025

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 018682 NY Primary

Addresses

Primary practice location

2139 Adam Clayton Powell Jr Blvd
New York, NY 10027-3719

Mailing address

2139 Adam Clayton Powell Jr Blvd
New York, NY 10027-3719
Phone (347) 455-9141

Other practice location 1

1 Echo Hl
Dobbs Ferry, NY 10522-3600
Phone (718) 220-4700

Other practice location 2

400 E Fordham Rd Fl 6
Bronx, NY 10458-5039
Phone (718) 220-4700 ext. 7272

Other names 1

  • Dr. Ann Marie Tripp Pendleton Former name

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

State licenses

LicenseStateTypeSpecialty
018682NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Childrens Village Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1190851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765929600000",
    "number": "1376730960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2139 ADAM CLAYTON POWELL JR BLVD",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100273719",
            "telephone_number": "347-455-9141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2139 ADAM CLAYTON POWELL JR BLVD",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100273719",
            "telephone_number": "347-455-9141"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Echo Hl",
            "address_purpose": "LOCATION",
            "city": "Dobbs Ferry",
            "state": "NY",
            "postal_code": "105223600",
            "country_code": "US",
            "telephone_number": "718-220-4700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 E Fordham Rd Fl 6",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104585039",
            "country_code": "US",
            "telephone_number": "718-220-4700 x7272",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NIKOLA",
        "first_name": "ANN MARIE",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-27",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "018682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANN MARIE",
            "last_name": "TRIPP PENDLETON",
            "prefix": "DR.",
            "credential": "PSYD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Dec 17, 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.