New York Behavioral Health

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

017620 Issued in NY

Legal business name

NEW YORK BEHAVIORAL HEALTH

Practice address

909 3Rd Ave
Suite 505
New York, NY 10022-4731

Phone

(646) 495-3078

NPI assigned

Aug 21, 2009

Organization subpart

No

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

Authorized official

Name

Dr. J. Ryan Fuller, PH.D.NPI 1871712653

Title

Clinical Director

Phone

(646) 495-3078

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• J. Ryan Fuller, PH.D.

  • Psychologist
  • New York, NY
  • NPI 1871712653
  NPD (past) Authorized official
• Diana Maria Dimitri, PH.D.

  • Clinical Psychologist
  • New York, NY
  • NPI 1558695825
  NPD (past)

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

{
    "created_epoch": "1250812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250812800000",
    "number": "1508098732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 3RD AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100224731",
            "telephone_number": "646-495-3078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 3RD AVE",
            "address_2": "SUITE 505",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100224731",
            "telephone_number": "646-495-3078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW YORK BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-21",
        "last_updated": "2009-08-21",
        "status": "A",
        "authorized_official_last_name": "FULLER",
        "authorized_official_first_name": "J. RYAN",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "646-495-3078",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "017620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• New York Association for New Americans, Inc
• New York Audiology Center, Inc.
• New York Audiology Center,Inc.
• New York Audiology Center,Inc.
• New York Behavioral Group Licensed Behavior Analysts PLLC
• New York Behavioral Health Psychological Office, PLLC
• New York Bone & Joint Specialist
• New York Bone and Joint Specialists, PLLC
• New York Cardiac Diagnostic Center
• New York Cardiology Associates, P.C.

• Clinical Psychologist in New York, NY
• Providers in New York, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.

Verify at the official NPI Registry.