Active NPI
Yvette M Roche Muniz, PH.D.
- Clinical Psychologist
- New York, NY
National Provider Identifier
1992972418
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 013258-1
- Practice address
- 156 W 56TH St Ste 1804
New York, NY 10019-3878 - Phone
- (212) 851-8100
- Fax
- (888) 977-2547
- NPI assigned
- May 14, 2008
- Last updated
- Mar 13, 2023
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 013258-1 | NY | Primary |
Addresses
Primary practice location
156 W 56TH St Ste 1804
New York, NY 10019-3878
Mailing address
20 Picasso CT
East Windsor, NJ 08520-3040
Phone (609) 371-1054
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02021896 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
495 Iron Bridge Rd
Suite 12
Freehold, NJ 07728-5306
Phone (732) 683-2322
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 013258-1 | NY | MD | Physical Therapist |
| 013258 | NY | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NJ Behavioral Health Services PC | Clinical | Current | Accepting new patients |
Locations
140 E Ridgewood Ave
Ste 415
Paramus, NJ 07652
Phone (201) 720-1900
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.
-
- Clinic/Center
- Freehold, NJ
- NPI 1831491612
-
- Clinical Psychologist
- Paramus, NJ
- NPI 1447289376
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678665600000",
"number": "1992972418",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 PICASSO CT",
"city": "EAST WINDSOR",
"state": "NJ",
"postal_code": "085203040",
"telephone_number": "609-371-1054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "156 W 56TH ST STE 1804",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100193878",
"telephone_number": "212-851-8100",
"fax_number": "888-977-2547"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROCHE MUNIZ",
"first_name": "YVETTE",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-14",
"last_updated": "2023-03-13",
"certification_date": "2023-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "013258-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02021896",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.