Individual provider Active NPI

Denise Sender Vinograde, PH.D

  • Clinical Psychologist
  • New York, NY
National Provider Identifier
1013926641
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
015183 Issued in NY
Practice address
225 W 71St St
Suite 23
New York, NY 10023-3726
Phone
(212) 873-2046
NPI assigned
Aug 5, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 015183 NY Primary

Addresses

Primary practice location

225 W 71St St
Suite 23
New York, NY 10023-3726

Mailing address

225 W 71St St
Suite 23
New York, NY 10023-3726
Phone (212) 873-2046

Other identifiers 1

IdentifierTypeStateIssuer
02408217MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110107000017 NY Practitioner - Clinical Psychologist 7416146386 Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

225 W 71St St
Suite 23
New York, NY 10023-3756
Phone (212) 873-2046

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013926641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 W 71ST ST",
            "address_2": "SUITE 23",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100233726",
            "telephone_number": "212-873-2046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 W 71ST ST",
            "address_2": "SUITE 23",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100233726",
            "telephone_number": "212-873-2046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINOGRADE",
        "first_name": "DENISE",
        "middle_name": "SENDER",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "015183",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02408217",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.