Provider Demographics
NPI:1093124240
Name:RIPPLINGER, JODY
Entity Type:Individual
Prefix:
First Name:JODY
Middle Name:
Last Name:RIPPLINGER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:225 BROADWAY STE 2060
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10007-3748
Mailing Address - Country:US
Mailing Address - Phone:646-586-3311
Mailing Address - Fax:
Practice Address - Street 1:225 BROADWAY STE 2060
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10007-3748
Practice Address - Country:US
Practice Address - Phone:646-586-3311
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-12
Last Update Date:2024-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty