DR. JOHN L. THEODORE PH.D.
NPI 1639396641
Psychologist - Clinical in New York, NY

Q: What is John Theodore's NPI number?

The NPI number for John Theodore is 1639396641. It was assigned to this individual provider in the NPPES registry on April 19, 2007.

Q: What is John Theodore's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for John Theodore was last updated on December 21, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 19, 2007

412 AVENUE OF THE AMERICAS, SUITE 413, NEW YORK, NY 10011(646) 239-7774(212) 388-1215 Get Directions Write a Review

NPPES record last updated: December 21, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. John L. Theodore Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JOHN L. THEODORE PH.D. (NPI 1639396641) is an individual clinical provider in New York, New York, licensed in New York (68 017120) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1639396641

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. JOHN L. THEODORECredential: PH.D.

Location Address412 AVENUE OF THE AMERICAS, SUITE 413New York, NY 10011-8409

Mailing Address412 Avenue Of The Americas, Suite 413New York, NY 10011-8409 · (646) 239-7774 · Fax (212) 388-1215

Phone(646) 239-7774

Fax(212) 388-1215

Sole ProprietorYes

Enumeration DateApril 19, 2007

Last NPPES UpdateDecember 21, 2010

✔ NPI 1639396641 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in NY · 68 017120

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

412 AVENUE OF THE AMERICAS, New York, NY 10011

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Other Identifiers 2

Medicaid02878408NY

Medicare PINVN4431NY

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. LINDSAY ROTH LCSW

Social Worker (Clinical)

412 AVENUE OF THE AMERICAS, SUITE 505
NEW YORK, NY 10011

New York County (212) 727-9084

JOSEPH E KRUFT LP

Psychoanalyst

412 AVENUE OF THE AMERICAS, SUITE 611
NEW YORK, NY 10011

New York County (212) 714-7084

MR. ROBERT EVAN OSMAN M.A.

Psychologist (Psychoanalysis)

412 AVENUE OF THE AMERICAS, SUITE 707
NEW YORK, NY 10011

New York County (212) 677-4531

MS. LILLIAN KNUTZEN LMHC

Counselor (Mental Health)

412 AVENUE OF THE AMERICAS, SUITE 509
NEW YORK, NY 10011

New York County (646) 413-3127

MS. JOSEPHINE OLIVIA FERRARO LCSW-R

Social Worker (Clinical)

412 AVENUE OF THE AMERICAS, SUITE 508
NEW YORK, NY 10011

New York County (212) 726-1006

MARSHA MCGOGNEY OTL

Occupational Therapist

412 AVENUE OF THE AMERICAS, SUITE 408-409
NEW YORK, NY 10011

New York County (212) 627-4545

SHIRLEY L COURT LCSW

Social Worker (Clinical)

412 AVENUE OF THE AMERICAS, SUITE 400
NEW YORK, NY 10011

New York County (212) 505-7073

DR. ROBERT FRANK SCHERMA PSY. D.

Psychologist

412 AVENUE OF THE AMERICAS, SUITE 500
NEW YORK, NY 10011

New York County (917) 331-9970

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Theodore's NPI number?

The NPI number for John Theodore is 1639396641. It was assigned to this individual provider in the NPPES registry on April 19, 2007.

Where is John Theodore located?

John Theodore practices at 412 Avenue Of The Americas Suite 413, New York, NY 10011. The listed phone number is (646) 239-7774.

What is John Theodore's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for John Theodore was last updated on December 21, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.