Active NPI
Nancy E Nereo, PHD
- Clinical Psychologist
- New York, NY
National Provider Identifier
1801969258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 14662
- Practice address
- Hospital for Special Surgery, Rehabilitation Dept.
535 East 70TH Street, Pediatrics Section, 5TH Floor
New York, NY 10021 - Phone
- (212) 606-1354
- Fax
- (212) 774-2761
- NPI assigned
- Nov 15, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 14662 | NY | Primary |
Addresses
Primary practice location
Hospital for Special Surgery, Rehabilitation Dept.
535 East 70TH Street, Pediatrics Section, 5TH Floor
New York, NY 10021
Mailing address
117 W 72ND St
Suite 5E
New York, NY 10023-3204
Phone (917) 952-6064
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14662 | NY | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1801969258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117 W 72ND ST",
"address_2": "SUITE 5E",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100233204",
"telephone_number": "917-952-6064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "HOSPITAL FOR SPECIAL SURGERY, REHABILITATION DEPT.",
"address_2": "535 EAST 70TH STREET, PEDIATRICS SECTION, 5TH FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10021",
"telephone_number": "212-606-1354",
"fax_number": "212-774-2761"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEREO",
"first_name": "NANCY",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "14662",
"primary": true
}
],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.