Individual provider Active NPI

Maria Larino, PH.D.

  • Clinical Psychologist
  • Ridgefield, CT
National Provider Identifier
1922253210
Registry record updated Dec 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
013489 Issued in NY
Practice address
11 Kiahs Brook LN
Ridgefield, CT 06877-1907
Phone
(917) 257-4971
Fax
(914) 663-5333
NPI assigned
Dec 1, 2008
Last updated
Dec 1, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 013489 NY Primary
Clinical Psychologist 103TC0700X 002719 CT

Addresses

Primary practice location

11 Kiahs Brook LN
Ridgefield, CT 06877-1907

Mailing address

11 Kiahs Brook LN
Ridgefield, CT 06877-1907
Phone (917) 257-4971

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130719000099 NY Practitioner - Clinical Psychologist 1052552916 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northside Psychology PLLCGroup PAC ID 5193117570, 7 clinicians

Practice addresses (Care Compare)

331 Leonard St
Brooklyn, NY 11211-2309
Phone (718) 668-1919

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
002719CTMDMental Health Counselor
013489NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Northside Psychology PLLC CurrentSince Apr 18, 2025 Accepting new patients
Nysarc Inc Westchester County Chapter PastSince Nov 22, 2009 Accepting new patients

Locations

750 Main St
Ste 100
Hartford, CT 06103

1843 Central Ave
Ste 171
Albany, NY 12205

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": "1228089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228089600000",
    "number": "1922253210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 KIAHS BROOK LN",
            "city": "RIDGEFIELD",
            "state": "CT",
            "postal_code": "068771907",
            "telephone_number": "917-257-4971",
            "fax_number": "914-663-5333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 KIAHS BROOK LN",
            "city": "RIDGEFIELD",
            "state": "CT",
            "postal_code": "068771907",
            "telephone_number": "917-257-4971",
            "fax_number": "914-663-5333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARINO",
        "first_name": "MARIA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-01",
        "last_updated": "2008-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "013489",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CT",
            "license": "002719",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgefield, CT

Sources for this page

Verify at the official NPI Registry.