Individual provider Active NPI

Yadira Batiz Dolmo, PSY.D.

  • Psychologist
  • Bronx, NY
National Provider Identifier
1538568670
Registry record updated Apr 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
020750 Issued in NY
Practice address
99 Terrace View Ave
Bronx
Bronx, NY 10463-5079
Phone
(646) 317-4207
Fax
(646) 317-5014
NPI assigned
Aug 14, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 020750 NY Primary

Addresses

Primary practice location

99 Terrace View Ave
Bronx
Bronx, NY 10463-5079

Mailing address

99 Terrace View Ave
Bronx
Bronx, NY 10463-5079

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140903001300 NY Order and Referring Only - Clinical Psychologist 0648498741

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

NPI Registry JSON

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

{
    "created_epoch": "1407974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428364800000",
    "number": "1538568670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 TERRACE VIEW AVE",
            "address_2": "BRONX",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104635079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 TERRACE VIEW AVE",
            "address_2": "BRONX",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104635079",
            "telephone_number": "646-317-4207",
            "fax_number": "646-317-5014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATIZ DOLMO",
        "first_name": "YADIRA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-14",
        "last_updated": "2015-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "020750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.