Individual provider Active NPI

Ann Marie Truppi, PH.D.

  • Clinical Psychologist
  • Delmar, NY
National Provider Identifier
1437264371
Registry record updated Sep 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
015222 Issued in NY
Practice address
274 Delaware Ave
Delmar, NY 12054-1436
Phone
(518) 427-5004
Fax
(518) 432-5750
NPI assigned
Aug 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2021

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 015222 NY Primary

Addresses

Primary practice location

274 Delaware Ave
Delmar, NY 12054-1436

Mailing address

274 Delaware Ave Ste 200
Delmar, NY 12054-1436
Phone (518) 427-5004

Other identifiers 1

IdentifierTypeStateIssuer
02286762MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040329000792 NY Practitioner - Clinical Psychologist 6507758083 Practice locations: Delmar, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

274 Delaware Ave
Delmar, NY 12054-1436
Phone (518) 427-5004

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
015222NYMDMental Health Counselor
15222NYMDDevelopmental Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Achieve Physical Therapy Services of New York PLLC Past Accepting new patients
Roman Catholic Diocese of Albany Ny Clinical PastSince Jan 1, 1994 Accepting new patients

Organizations & group practices 2

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": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632268800000",
    "number": "1437264371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "274 DELAWARE AVE STE 200",
            "city": "DELMAR",
            "state": "NY",
            "postal_code": "120541436",
            "telephone_number": "518-427-5004",
            "fax_number": "518-432-5750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "274 DELAWARE AVE",
            "city": "DELMAR",
            "state": "NY",
            "postal_code": "120541436",
            "telephone_number": "518-427-5004",
            "fax_number": "518-432-5750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUPPI",
        "first_name": "ANN MARIE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-20",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "015222",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02286762",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Delmar, NY

Sources for this page

Verify at the official NPI Registry.