Active NPI
Marybeth Pierrot
- School Psychologist
- Ravena, NY
National Provider Identifier
1992077044
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 1376654
- Practice address
- 14379 Route 9W
Circle of Friends
Ravena, NY 12143-9602 - Phone
- (518) 756-3124
- Fax
- (518) 756-9476
- NPI assigned
- Feb 6, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 1376654 | NY | Primary |
Addresses
Primary practice location
14379 Route 9W
Circle of Friends
Ravena, NY 12143-9602
Mailing address
14379 Route 9W
Circle of Friends
Ravena, NY 12143
Phone (518) 756-3124
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1376654 | NY | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328486400000",
"number": "1992077044",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14379 ROUTE 9W",
"address_2": "CIRCLE OF FRIENDS",
"city": "RAVENA",
"state": "NY",
"postal_code": "12143",
"telephone_number": "518-756-3124",
"fax_number": "518-756-9476"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14379 ROUTE 9W",
"address_2": "CIRCLE OF FRIENDS",
"city": "RAVENA",
"state": "NY",
"postal_code": "121439602",
"telephone_number": "518-756-3124",
"fax_number": "518-756-9476"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIERROT",
"first_name": "MARYBETH",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-02-06",
"last_updated": "2012-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "NY",
"license": "1376654",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ravena, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.