Individual provider Active NPI

Peter Miles Delrosario, PH.D.

  • Counseling Psychologist
  • New Paltz, NY
National Provider Identifier
1497966170
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
012249 Issued in NY
Practice address
199 Main St
New Paltz, NY 12561-1242
Phone
(914) 262-8595
Fax
(845) 256-0432
NPI assigned
May 24, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 012249 NY Primary

Addresses

Primary practice location

199 Main St
New Paltz, NY 12561-1242

Mailing address

27 Outlook Farm Dr
New Paltz, NY 12561-3615
Phone (914) 262-8595

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

LicenseStateTypeSpecialty
012249NYMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497966170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 OUTLOOK FARM DR",
            "city": "NEW PALTZ",
            "state": "NY",
            "postal_code": "125613615",
            "telephone_number": "914-262-8595",
            "fax_number": "845-256-0432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 MAIN ST",
            "city": "NEW PALTZ",
            "state": "NY",
            "postal_code": "125611242",
            "telephone_number": "914-262-8595",
            "fax_number": "845-256-0432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELROSARIO",
        "first_name": "PETER",
        "middle_name": "MILES",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NY",
            "license": "012249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Paltz, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.