Active NPI
Innerweave Psychology PLLC
- Clinical Psychologist
- New York, NY
National Provider Identifier
1790498954
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- INNERWEAVE PSYCHOLOGY PLLC
- Practice address
- 115 W 30TH St RM 709
New York, NY 10001-4068 - Phone
- (347) 994-9616
- NPI assigned
- Jan 3, 2023
- Last updated
- Jan 3, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Justina Dillon, PH.D.
- Title
- Founder; Psychologist
- Phone
- (908) 331-3563
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | NU | Primary | |
| Clinical Social Worker | 1041C0700X | NU |
Addresses
Primary practice location
115 W 30TH St RM 709
New York, NY 10001-4068
Mailing address
228 Park Ave S
New York, NY 10003-1502
Phone (347) 994-9616
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Psychologist
- New York, NY
- NPI 1386128312
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1672704000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1672704000000",
"number": "1790498954",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "228 PARK AVE S",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100031502",
"telephone_number": "347-994-9616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 W 30TH ST RM 709",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100014068",
"telephone_number": "347-994-9616"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INNERWEAVE PSYCHOLOGY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-01-03",
"last_updated": "2023-01-03",
"certification_date": "2023-01-03",
"status": "A",
"authorized_official_last_name": "DILLON",
"authorized_official_first_name": "JUSTINA",
"authorized_official_title_or_position": "FOUNDER; PSYCHOLOGIST",
"authorized_official_telephone_number": "908-331-3563",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NU",
"license": null,
"primary": false
}
],
"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 Jan 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.