Active NPI
Nicholas Charles Crimarco, PH.D.
- Clinical Psychologist
- Tarrytown, NY
National Provider Identifier
1902206253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 021769-1
- Practice address
- 155 White Plains Rd
Tarrytown, NY 10591-5523 - Phone
- (914) 631-4618
- NPI assigned
- Aug 23, 2014
- Sex
- Male
- Sole proprietor
- No
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 | 021769-1 | NY | Primary |
Addresses
Primary practice location
155 White Plains Rd
Tarrytown, NY 10591-5523
Mailing address
155 White Plains Rd
Tarrytown, NY 10591-5523
Phone (914) 631-4618
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 |
|---|---|---|---|
| 021769-1 | NY | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472515200000",
"number": "1902206253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "155 WHITE PLAINS RD",
"city": "TARRYTOWN",
"state": "NY",
"postal_code": "105915523",
"telephone_number": "914-631-4618"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 WHITE PLAINS RD",
"city": "TARRYTOWN",
"state": "NY",
"postal_code": "105915523",
"telephone_number": "914-631-4618"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRIMARCO",
"first_name": "NICHOLAS",
"middle_name": "CHARLES",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-08-23",
"last_updated": "2016-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "021769-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tarrytown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.