Active NPI
Irena Ilieva, PHD
- Psychologist
- New York, NY
National Provider Identifier
1437528239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Practice address
- 425 E 61St St
PH Floor
New York, NY 10065-8722 - Phone
- (617) 515-7645
- NPI assigned
- Sep 22, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | Primary | ||
| Cognitive & Behavioral Psychologist | 103TB0200X |
Addresses
Primary practice location
425 E 61St St
PH Floor
New York, NY 10065-8722
Mailing address
425 E 61St St
PH Floor
New York, NY 10065-8722
Phone (617) 515-7645
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
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442880000000",
"number": "1437528239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 E 61ST ST",
"address_2": "PH FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100658722",
"telephone_number": "617-515-7645"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 E 61ST ST",
"address_2": "PH FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100658722",
"telephone_number": "617-515-7645"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ILIEVA",
"first_name": "IRENA",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-22",
"last_updated": "2015-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
},
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": null,
"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 Sep 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.