New York Behavioral Health Psychological Office, PLLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

017108 Issued in NY

Legal business name

NEW YORK BEHAVIORAL HEALTH PSYCHOLOGICAL OFFICE, PLLC

Practice address

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

Phone

(646) 495-3078

NPI assigned

Aug 14, 2009

Organization subpart

No

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

Authorized official

Name

J Fuller, PH.D.

Title

Clinical Director

Phone

(646) 495-3078

Specialties & licenses 1

Addresses

Other names 1

• NYBHealth Doing business as

Locations

Practitioners 1

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

• 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": "1250208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250208000000",
    "number": "1629200233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "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"
        },
        {
            "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 PSYCHOLOGICAL OFFICE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-14",
        "last_updated": "2009-08-14",
        "status": "A",
        "authorized_official_last_name": "FULLER",
        "authorized_official_first_name": "J",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "646-495-3078",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NY",
            "license": "017108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NYBHealth",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• New York Behavioral Group Licensed Behavior Analysts PLLC
• New York Behavioral Health
• New York Bone & Joint Specialist
• New York Bone and Joint Specialists, PLLC
• New York Cardiac Diagnostic Center
• New York Cardiology Associates, P.C.
• New York Cardiovascular Associates PLLC

• Community/Behavioral Health Agency in New York, NY
• Providers in New York, NY by specialty
• Community/Behavioral Health Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.