Active NPI
Vikki Palmer, PH.D.
- Psychologist
- Staten Island, NY
National Provider Identifier
1558599639
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 015010
- Practice address
- 2702 Richmond Ter
Staten Island, NY 10303-2313 - Phone
- (718) 816-8901
- NPI assigned
- Jun 26, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 015010 | NY | Primary |
| School Psychologist | 103TS0200X | 015010 | NY |
Addresses
Primary practice location
2702 Richmond Ter
Staten Island, NY 10303-2313
Mailing address
2702 Richmond Ter
Staten Island, NY 10303-2313
Phone (718) 816-8901
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 |
|---|---|---|---|
| 015010 | NY | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1245974400000",
"number": "1558599639",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2702 RICHMOND TER",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103032313",
"telephone_number": "718-816-8901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2702 RICHMOND TER",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103032313",
"telephone_number": "718-816-8901"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALMER",
"first_name": "VIKKI",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-06-26",
"last_updated": "2009-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "015010",
"primary": true
},
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "NY",
"license": "015010",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.