Active NPI
Ivan Ainyette, PH.D.
- Psychologist
- New York, NY
National Provider Identifier
1821130063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 010298-1
- Practice address
- 506 Malcolm X Blvd
Department of Psychiatry 9TH FL
New York, NY 10037-1802 - Phone
- (212) 939-3299
- NPI assigned
- Feb 13, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 010298-1 | NY | Primary |
Addresses
Primary practice location
506 Malcolm X Blvd
Department of Psychiatry 9TH FL
New York, NY 10037-1802
Mailing address
130 Milton PL
506 Lenox Ave
South Orange, NJ 07079-2618
Phone (212) 939-3299
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: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010298 | NY | MD | Mental Health Counselor |
| 010298-1 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1821130063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 MILTON PL",
"address_2": "506 LENOX AVE",
"city": "SOUTH ORANGE",
"state": "NJ",
"postal_code": "070792618",
"telephone_number": "212-939-3299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "506 MALCOLM X BLVD",
"address_2": "DEPARTMENT OF PSYCHIATRY 9TH FL",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100371802",
"telephone_number": "212-939-3299"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AINYETTE",
"first_name": "IVAN",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "010298-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
- Ainsworth Institute of Pain Managment, PLLC
- Ainsworth Medical Associates, PLLC
- Ainsworth Pain Management & Rehabilitation PLLC
- Ainsworth Surgical Pavillion, LLC
- Alison M Ainsworth, FNP
- Lisa Elizabeth Airan, MD
- Dria Alexandra Aird
- Aire Podiatry PLLC
- Omosefe Laura Airhiavbere, RPH
- James Aisenberg, M.D.
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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.