Organization Active NPI

J. M. Aquino Psychologist PLLC

  • Psychologist
  • Rye Brook, NY
National Provider Identifier
1851766000
Registry record updated Dec 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
009291 Issued in NY
Legal business name
J. M. AQUINO PSYCHOLOGIST PLLC
Practice address
10 Rye Ridge PLZ
Suite 214
Rye Brook, NY 10573-2828
Phone
(914) 253-9429
Fax
(914) 777-3852
NPI assigned
Dec 13, 2015
Last updated
Dec 13, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2015

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

Authorized official

Name
Dr. Joseph Mario Aquino, PH. D.NPI 1457429284
Title
Psychologist
Phone
(914) 253-0429

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 009291 NY Primary

Addresses

Primary practice location

10 Rye Ridge PLZ
Suite 214
Rye Brook, NY 10573-2828

Mailing address

10 Rye Ridge PLZ
Suite 214
Rye Brook, NY 10573-2828
Phone (914) 253-9429

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161027002005 NY Part B Supplier - Clinic/Group Practice 9032497946 Receives reassigned benefits from 1 practitioner
Practice locations: Rye Brook, NY

National Provider Directory

National Provider Directory

Locations

10 Rye Ridge Plz
Ste 214
Rye Brook, NY 10573
Phone (914) 253-9429

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1449964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449964800000",
    "number": "1851766000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 RYE RIDGE PLZ",
            "address_2": "SUITE 214",
            "city": "RYE BROOK",
            "state": "NY",
            "postal_code": "105732828",
            "telephone_number": "914-253-9429",
            "fax_number": "914-777-3852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 RYE RIDGE PLZ",
            "address_2": "SUITE 214",
            "city": "RYE BROOK",
            "state": "NY",
            "postal_code": "105732828",
            "telephone_number": "914-253-9429",
            "fax_number": "914-777-3852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J. M. AQUINO PSYCHOLOGIST PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-13",
        "last_updated": "2015-12-13",
        "status": "A",
        "authorized_official_last_name": "AQUINO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "MARIO",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "914-253-0429",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH. D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "009291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rye Brook, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.