Active NPI
Roy Curtis Jerome, PH.D.
- Psychologist
- New York, NY
National Provider Identifier
1689933046
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Practice address
- 275 7TH Ave
12 Floor
New York, NY 10001-6708 - Phone
- (212) 604-1753
- NPI assigned
- May 4, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | Primary |
Addresses
Primary practice location
275 7TH Ave
12 Floor
New York, NY 10001-6708
Mailing address
1 Gustav Levy Place
Department of Psychiatry, Box 1230
New York, NY 10029
Phone (917) 225-9024
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019645 | NY | MD | Pediatric Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1393200000000",
"number": "1689933046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 GUSTAV LEVY PLACE",
"address_2": "DEPARTMENT OF PSYCHIATRY, BOX 1230",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10029",
"telephone_number": "917-225-9024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "275 7TH AVE",
"address_2": "12 FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100016708",
"telephone_number": "212-604-1753"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEROME",
"first_name": "ROY",
"middle_name": "CURTIS",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-05-04",
"last_updated": "2014-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.