Innerwisdom Psychological Services PC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

INNERWISDOM PSYCHOLOGICAL SERVICES PC

Practice address

119 W 57TH St Ste 516
New York, NY 10019-2302

Phone

(917) 589-9385

NPI assigned

Oct 21, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Elizabeth Marmaras, PHD, ABPPP

Title

President

Phone

(917) 589-9385

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1571616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571616000000",
    "number": "1841833969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 W 57TH ST STE 516",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100192302",
            "telephone_number": "917-589-9385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 W 57TH ST STE 516",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100192302",
            "telephone_number": "917-589-9385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNERWISDOM PSYCHOLOGICAL SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-21",
        "last_updated": "2019-10-21",
        "status": "A",
        "authorized_official_last_name": "MARMARAS",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-589-9385",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, ABPPP"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in New York, NY
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2019; 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.