Organization Active NPI

Correa & Peverly Psychologists, PC

  • Clinical Psychologist
  • Scarsdale, NY
National Provider Identifier
1447445713
Registry record updated Dec 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
011942-1 Issued in NY
Legal business name
CORREA & PEVERLY PSYCHOLOGISTS, PC
Practice address
2 Brambach Ave
Scarsdale, NY 10583-5236
Phone
(914) 646-2472
Fax
(914) 693-7808
NPI assigned
Sep 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2007

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

Authorized official

Name
Martha L Correa-Peverly, PH.D.
Title
President
Phone
(212) 865-5899

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X 011942-1 NY Primary

Addresses

Primary practice location

2 Brambach Ave
Scarsdale, NY 10583-5236

Mailing address

42 Chestnut Ridge Way
Dobbs Ferry, NY 10522-3216
Phone (914) 646-2472

National Provider Directory

National Provider Directory

Locations

2 Brambach Ave
Scarsdale, NY 10583
Phone (914) 646-2472

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197417600000",
    "number": "1447445713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 CHESTNUT RIDGE WAY",
            "city": "DOBBS FERRY",
            "state": "NY",
            "postal_code": "105223216",
            "telephone_number": "914-646-2472",
            "fax_number": "914-693-7808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 BRAMBACH AVE",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105835236",
            "telephone_number": "914-646-2472",
            "fax_number": "914-693-7808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORREA & PEVERLY PSYCHOLOGISTS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-10",
        "last_updated": "2007-12-12",
        "status": "A",
        "authorized_official_last_name": "CORREA-PEVERLY",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-865-5899",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "011942-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scarsdale, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2007; 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.