Individual provider Active NPI

Christine Joan Ditrano, PSY.D.

  • Clinical Psychologist
  • Pomona, NY
National Provider Identifier
1710259874
Registry record updated Feb 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
016311 Issued in NY
Practice address
16 Beaver Dam Rd
Pomona, NY 10970-3204
Phone
(845) 548-6094
NPI assigned
Feb 6, 2012
Last updated
Feb 6, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 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 016311 NY Primary

Addresses

Primary practice location

16 Beaver Dam Rd
Pomona, NY 10970-3204

Mailing address

16 Beaver Dam Rd
Pomona, NY 10970-3204
Phone (845) 548-6094

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

NPI Registry JSON

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

{
    "created_epoch": "1328486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328486400000",
    "number": "1710259874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 BEAVER DAM RD",
            "city": "POMONA",
            "state": "NY",
            "postal_code": "109703204",
            "telephone_number": "845-548-6094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 BEAVER DAM RD",
            "city": "POMONA",
            "state": "NY",
            "postal_code": "109703204",
            "telephone_number": "845-548-6094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DITRANO",
        "first_name": "CHRISTINE",
        "middle_name": "JOAN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-06",
        "last_updated": "2012-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "016311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pomona, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2012; 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.