Individual provider Active NPI

Jessica Zoe Rapoport, PH.D.

  • Psychologist
  • New York, NY
National Provider Identifier
1720381437
Registry record updated Feb 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
018895 Issued in NY
Practice address
245 W 29TH St RM 1202
New York, NY 10001-5227
Phone
(917) 216-0510
NPI assigned
Dec 20, 2010
Last updated
Feb 3, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 018895 NY Primary

Addresses

Primary practice location

245 W 29TH St RM 1202
New York, NY 10001-5227

Mailing address

55 Perry St
3M
New York, NY 10014-3218
Phone (917) 513-5864

Other practice location 1

138 W 25th St
Suite 802-B8
New York, NY 10001-7405
Phone (917) 216-0510

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jul 1, 2018 through Jul 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Rapoport Psychological Services PLLC Psychologist CurrentSince Dec 1, 2019 Accepting new patients

Locations

138 W 25th St
Ste 802B8
New York, NY 10001
Phone (917) 216-0510

245 W 29th St
Rm 1202
New York, NY 10001
Phone (917) 216-0510

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1292803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580688000000",
    "number": "1720381437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 PERRY ST",
            "address_2": "3M",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100143218",
            "telephone_number": "917-513-5864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 W 29TH ST RM 1202",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100015227",
            "telephone_number": "917-216-0510"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "138 W 25th St",
            "address_2": "Suite 802-B8",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100017405",
            "country_code": "US",
            "telephone_number": "917-216-0510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAPOPORT",
        "first_name": "JESSICA",
        "middle_name": "ZOE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-20",
        "last_updated": "2020-02-03",
        "certification_date": "2020-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "018895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.