Active NPI
Darlene T Desantis, PHD
- Psychologist
- Bronx, NY
National Provider Identifier
1902976111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 015025
- Practice address
- Cham
3415 Bainbridge Avenue
Bronx, NY 10467 - Phone
- (718) 741-2577
- NPI assigned
- Nov 8, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 015025 | NY | Primary |
Addresses
Primary practice location
Cham
3415 Bainbridge Avenue
Bronx, NY 10467
Mailing address
PO Box 307
Apt. 3R1 Scarborough Manor
Scarborough, NY 10510-9207
Phone (718) 741-2577
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 015025 | NY | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1902976111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 307",
"address_2": "APT. 3R1 SCARBOROUGH MANOR",
"city": "SCARBOROUGH",
"state": "NY",
"postal_code": "105109207",
"telephone_number": "718-741-2577",
"fax_number": "718-944-5908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CHAM",
"address_2": "3415 BAINBRIDGE AVENUE",
"city": "BRONX",
"state": "NY",
"postal_code": "10467",
"telephone_number": "718-741-2577"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DESANTIS",
"first_name": "DARLENE",
"middle_name": "T",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "015025",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.