{
"Npi": {
"NPI": "1497962138",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "SCHIPPA",
"FirstName": "JOSEPH",
"MiddleName": "THOMAS",
"NamePrefix": "DR.",
"NameSuffix": "JR.",
"Credential": "PH.D.",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "59 SUNSET DR FL 2",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "BRIARCLIFF MANOR",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "10510-1559",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "914-762-4481",
"MailingAddressFaxNumber": "914-944-7155",
"FirstLinePracticeLocationAddress": "59 SUNSET DR FL 2",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "BRIARCLIFF MANOR",
"PracticeLocationAddressStateName": "NY",
"PracticeLocationAddressPostalCode": "10510-1559",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "914-762-4481",
"PracticeLocationAddressFaxNumber": "914-944-7155",
"EnumerationDate": "05/16/2007",
"LastUpdateDate": "09/11/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "M",
"Gender": "Male",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "103G00000X",
"TaxonomyName": "Clinical Neuropsychologist",
"LicenseNumber": "013704-1",
"LicenseNumberStateCode": "NY",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "103TC0700X",
"TaxonomyName": "Clinical Psychologist",
"LicenseNumber": "013704-1",
"LicenseNumberStateCode": "NY",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}