Active NPI
Asha Vardarajan, PSYD
- Clinical Psychologist
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 018477
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospitalist Healthcare Services PLLC | Current | Accepting new patients | |
| Hospitalist Healthcare Services PLLC | Current | Accepting new patients | |
| Hospitalist Healthcare Services PLLC | Clinical | Current | 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.
-
- Internal Medicine Physician
- White Plains, NY
- NPI 1275962011
-
- Internal Medicine Physician
- White Plains, NY
- NPI 1538598610
-
- Internal Medicine Physician
- White Plains, NY
- NPI 1902224520
Clinical
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.