Individual provider Active NPI

Marie T Ribarich, PH.D.

  • Clinical Psychologist
  • Flushing, NY
National Provider Identifier
1689922478
Registry record updated Aug 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
011083 Issued in NY
Practice address
15755 26TH Ave
Flushing, NY 11354-1519
Phone
(917) 627-8731
NPI assigned
Aug 27, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 011083 NY Primary

Addresses

Primary practice location

15755 26TH Ave
Flushing, NY 11354-1519

Mailing address

15755 26TH Ave
Flushing, NY 11354-1519
Phone (917) 627-8731

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
I20230105000148 NY Practitioner - Clinical Psychologist 0941670160 Practice locations: Flushing, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

15755 26TH Ave
Flushing, NY 11354-1519
Phone (917) 627-8731

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

NPI Registry JSON

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

{
    "created_epoch": "1346025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346025600000",
    "number": "1689922478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15755 26TH AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113541519",
            "telephone_number": "917-627-8731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15755 26TH AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113541519",
            "telephone_number": "917-627-8731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIBARICH",
        "first_name": "MARIE",
        "middle_name": "T",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-27",
        "last_updated": "2012-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "011083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.