Individual provider Active NPI

Chrystianne Dealmeida, PH.D.

  • Psychologist
  • New York, NY
National Provider Identifier
1710213681
Registry record updated Apr 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
018352-1 Issued in NY
Practice address
90 Beekman St Apt 5C
New York, NY 10038-1876
Phone
(347) 614-0620
NPI assigned
Oct 27, 2009
Last updated
Apr 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 018352 NY
Psychologist 103T00000X 018352-1 NY Primary

Addresses

Primary practice location

90 Beekman St Apt 5C
New York, NY 10038-1876

Mailing address

90 Beekman St Apt 5C
New York, NY 10038-1876
Phone (917) 291-9387

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Nov 2, 2021 through Nov 2, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
018352-1NYMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1256601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712534400000",
    "number": "1710213681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 BEEKMAN ST APT 5C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100381876",
            "telephone_number": "917-291-9387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 BEEKMAN ST APT 5C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100381876",
            "telephone_number": "347-614-0620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEALMEIDA",
        "first_name": "CHRYSTIANNE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-27",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "018352",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "018352-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.