Active NPI
Janet C Waterhouse CP PHD LLC
- Clinical Psychologist
- New York, NY
National Provider Identifier
1487989984
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 017956
- Legal business name
- JANET C WATERHOUSE CP PHD LLC
- Practice address
- 315 W 57TH St
Suite 305
New York, NY 10019-3158 - Phone
- (917) 239-7792
- NPI assigned
- Oct 16, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Janet C Waterhouse
- Title
- Original Member
- Phone
- (917) 239-7792
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 017956 | NY | Primary |
Addresses
Primary practice location
315 W 57TH St
Suite 305
New York, NY 10019-3158
Mailing address
186 Riverside Dr
New York, NY 10024-1007
Phone (917) 239-7792
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
315 W 57th St
Ste 305
New York, NY 10019
Phone (917) 239-7792
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychologist
- New York, NY
- NPI 1932253135
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255651200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1255651200000",
"number": "1487989984",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "186 RIVERSIDE DR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100241007",
"telephone_number": "917-239-7792",
"fax_number": "212-721-5059"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 W 57TH ST",
"address_2": "SUITE 305",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100193158",
"telephone_number": "917-239-7792"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JANET C WATERHOUSE CP PHD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-10-16",
"last_updated": "2009-10-16",
"status": "A",
"authorized_official_last_name": "WATERHOUSE",
"authorized_official_first_name": "JANET",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "ORIGINAL MEMBER",
"authorized_official_telephone_number": "917-239-7792",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "017956",
"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 Oct 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.