Individual provider Active NPI

Pauline Jirik-Babb, PH.D.

  • Cognitive & Behavioral Psychologist
  • New Rochelle, NY
National Provider Identifier
1699898577
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X
License
008750-1 Issued in NY
Practice address
21 Marvin PL
New Rochelle, NY 10801-7117
Phone
(914) 633-7868
Fax
(914) 632-4104
NPI assigned
Apr 7, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cognitive & Behavioral Psychologist 103TB0200X 008750-1 NY Primary

Addresses

Primary practice location

21 Marvin PL
New Rochelle, NY 10801-7117

Mailing address

21 Marvin PL
New Rochelle, NY 10801-7117
Phone (914) 633-7868

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

LicenseStateTypeSpecialty
008750-1NYMDCognitive & Behavioral Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1175904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699898577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 MARVIN PL",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108017117",
            "telephone_number": "914-633-7868",
            "fax_number": "914-632-4104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 MARVIN PL",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108017117",
            "telephone_number": "914-633-7868",
            "fax_number": "914-632-4104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIRIK-BABB",
        "first_name": "PAULINE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "NY",
            "license": "008750-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Rochelle, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.