Active NPI
Ilyse Dobrow Dimarco, PH.D.
- Clinical Psychologist
- New York, NY
National Provider Identifier
1457684680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 018104
- Practice address
- 136 E 57TH St
Suite 1101
New York, NY 10022-2707 - Phone
- (212) 308-9882
- NPI assigned
- Sep 4, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 018104 | NY | Primary |
Addresses
Primary practice location
136 E 57TH St
Suite 1101
New York, NY 10022-2707
Mailing address
136 E 57TH St
Suite 1101
New York, NY 10022-2707
Phone (212) 308-9882
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 018104 | NY | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr Robert L Leahy Psychologist PC Dba American Institute for Cognitiv | Clinical | 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.
-
- Cognitive & Behavioral Psychologist
- New York, NY
- NPI 1134324106
Clinical
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1252022400000",
"number": "1457684680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "136 E 57TH ST",
"address_2": "SUITE 1101",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100222707",
"telephone_number": "212-308-9882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "136 E 57TH ST",
"address_2": "SUITE 1101",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100222707",
"telephone_number": "212-308-9882"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIMARCO",
"first_name": "ILYSE",
"middle_name": "DOBROW",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-04",
"last_updated": "2009-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "018104",
"primary": true
}
],
"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 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.