Individual provider Active NPI

Marina Dipilato, PH.D.

  • Clinical Psychologist
  • Rio Rancho, NM
National Provider Identifier
1861896037
Registry record updated Oct 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
533 Issued in NM
Practice address
500 Laser Rd NE
Rio Rancho Public Schools
Rio Rancho, NM 87124-4517
Phone
(505) 896-0667
Fax
(505) 896-0662
NPI assigned
Oct 17, 2014
Last updated
Oct 17, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 533 NM Primary

Addresses

Primary practice location

500 Laser Rd NE
Rio Rancho Public Schools
Rio Rancho, NM 87124-4517

Mailing address

500 Laser Rd NE
Rio Rancho Public Schools
Rio Rancho, NM 87124-4517
Phone (505) 896-0667

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

LicenseStateTypeSpecialty
533NMMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Rio Rancho Public Schools Past Accepting new patients
Rio Rancho Public Schools Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1413504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413504000000",
    "number": "1861896037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 LASER RD NE",
            "address_2": "RIO RANCHO PUBLIC SCHOOLS",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871244517",
            "telephone_number": "505-896-0667",
            "fax_number": "505-896-0662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 LASER RD NE",
            "address_2": "RIO RANCHO PUBLIC SCHOOLS",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871244517",
            "telephone_number": "505-896-0667",
            "fax_number": "505-896-0662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIPILATO",
        "first_name": "MARINA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-17",
        "last_updated": "2014-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NM",
            "license": "533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Rancho, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2014; 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.