Individual provider Active NPI

Asha Vardarajan, PSYD

  • Clinical Psychologist
  • New York, NY
National Provider Identifier
1063736742
Registry record updated Jun 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
018477 Issued in NY
Practice address
10 West St
Suite 26E
New York, NY 10004-1094
Phone
(646) 525-9671
NPI assigned
Mar 24, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2013

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 018477 NY Primary

Addresses

Primary practice location

10 West St
Suite 26E
New York, NY 10004-1094

Mailing address

10 West St
Suite 26E
New York, NY 10004-1094
Phone (646) 525-9671

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: No
  • 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
I20100722000019 NY Practitioner - Clinical Psychologist 6204968563 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Healthcare Services PLLC Current Accepting new patients
Hospitalist Healthcare Services PLLC CurrentSince Dec 11, 2013 Accepting new patients
Hospitalist Healthcare Services PLLC Clinical CurrentSince Dec 11, 2013 Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

6411 Beach Channel Dr
Far Rockaway, NY 11692
Phone (718) 471-7010

420 E 76th St
New York, NY 10021
Phone (212) 434-5300

100 Lake Rd
Vly Cottage, NY 10989
Phone (845) 268-6813

3 Barker Ave
Fl 4
White Plains, NY 10601
Phone (914) 949-7900

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1269388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372118400000",
    "number": "1063736742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 WEST ST",
            "address_2": "SUITE 26E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100041094",
            "telephone_number": "646-525-9671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 WEST ST",
            "address_2": "SUITE 26E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100041094",
            "telephone_number": "646-525-9671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARDARAJAN",
        "first_name": "ASHA",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-24",
        "last_updated": "2013-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "018477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.