Individual provider Active NPI

Ana Dybner, PSY.D.

  • Psychologist
  • New York, NY
National Provider Identifier
1083748313
Registry record updated Apr 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
010668-1 Issued in NY
Practice address
1623 3Rd Ave Ste 201
New York, NY 10128-3638
Phone
(917) 843-6284
NPI assigned
Mar 16, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 010668-1 NY Primary

Addresses

Primary practice location

1623 3Rd Ave Ste 201
New York, NY 10128-3638

Mailing address

11 E 86TH St Apt 4C
New York, NY 10028-0501
Phone (212) 722-8889

Other practice location 1

1623 3rd Ave Ste 201
New York, NY 10128-3638
Phone (917) 843-6284

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
I20041021000557 NY Practitioner - Clinical Psychologist 4486615622 Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

11 E 86TH St
4C
New York, NY 10028-0501
Phone (917) 843-6284

1623 3Rd Ave
Suite 201
New York, NY 10128-3638
Phone (917) 843-6284

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
010668-1NYMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Hector H. Goa, MD, PC PastSince Jan 19, 2020 Accepting new patients

Organizations & group practices 1

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": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522627200000",
    "number": "1083748313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 E 86TH ST APT 4C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100280501",
            "telephone_number": "212-722-8889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1623 3RD AVE STE 201",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101283638",
            "telephone_number": "917-843-6284"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1623 3rd Ave Ste 201",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "101283638",
            "country_code": "US",
            "telephone_number": "917-843-6284",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DYBNER",
        "first_name": "ANA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-16",
        "last_updated": "2018-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "010668-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.