Nelly Sta Maria Psychologist

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

017642 Issued in NY

Legal business name

NELLY STA MARIA PSYCHOLOGIST

Practice address

19 W 34TH St
PH
New York, NY 10001-3006

Phone

(212) 947-7111

NPI assigned

Jan 16, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Nelly L Sta Maria, PH.D.

Title

Clinical Psychologist

Phone

(646) 895-0794

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1232064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232064000000",
    "number": "1790922433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 DOLPHIN LN E",
            "city": "COPIAGUE",
            "state": "NY",
            "postal_code": "117265415",
            "telephone_number": "646-895-0794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 W 34TH ST",
            "address_2": "PH",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100013006",
            "telephone_number": "212-947-7111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NELLY STA MARIA PSYCHOLOGIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-16",
        "last_updated": "2009-01-16",
        "status": "A",
        "authorized_official_last_name": "STA MARIA",
        "authorized_official_first_name": "NELLY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "646-895-0794",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NY",
            "license": "017642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kate Wilkins Nellans, MD
• Danielle Nelle
• Matthew Nelligan, MD
• Mara Nellis, LCSW
• Marianne Nellis, MD
• Nelly T. Loo M.D., P.C.
• Christine E. Nelsen
• Keimoy Nelson-Johnson, FNP-BC
• Jacqueline Neseta Nelson-Lawrence
• Dijon Yvonne Nelson-Rhem, FNP-BC

• Community/Behavioral Health Agency in New York, NY
• Providers in New York, NY by specialty
• Community/Behavioral Health Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2009; 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.