Active NPI
Marilina Rufino
- Clinical Psychologist
- New York, NY
National Provider Identifier
1710132006
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 021088
- Practice address
- 611 Broadway RM 718
New York, NY 10012-2649 - Phone
- (917) 392-8547
- NPI assigned
- Dec 1, 2008
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Specialist | 174400000X | |||
| Clinical Psychologist | 103TC0700X | 021088 | NY | Primary |
Addresses
Primary practice location
611 Broadway RM 718
New York, NY 10012-2649
Mailing address
611 Broadway RM 718
New York, NY 10012-2649
Phone (917) 392-8547
Other practice location 1
227 Madison St
Gouverneur Healthcare Services
New York, NY 10002-7537
Phone (212) 238-7334
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 |
|---|---|---|---|
| 021088 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559174400000",
"number": "1710132006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "611 BROADWAY RM 718",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100122649",
"telephone_number": "917-392-8547"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "611 BROADWAY RM 718",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100122649",
"telephone_number": "917-392-8547"
}
],
"practiceLocations": [
{
"address_1": "227 Madison St",
"address_2": "Gouverneur Healthcare Services",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100027537",
"country_code": "US",
"telephone_number": "212-238-7334",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RUFINO",
"first_name": "MARILINA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-12-01",
"last_updated": "2019-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "021088",
"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 May 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.