Active NPI
Janet Rose Mayes, PH.D.
- Psychologist
- New York, NY
National Provider Identifier
1104980630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 006036-1
- Practice address
- 138 W 25TH St
Suite 801
New York, NY 10001-7405 - Phone
- (212) 741-1080
- NPI assigned
- Dec 20, 2006
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 006036-1 | NY | Primary |
Addresses
Primary practice location
138 W 25TH St
Suite 801
New York, NY 10001-7405
Mailing address
138 W 25TH St
Suite 801
New York, NY 10001-7405
Phone (212) 741-1080
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 006036- NO1 | Other | NY | H.I.P. |
| 01293461 | Medicaid | NY | |
| 1057740 | Other | NY | BEACON |
| 144437 | Other | NY | VALUE OPTIONS |
| P1241718 | Other | NY | OXFORD |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040423000170 | NY | Practitioner - Clinical Psychologist | 5698761765 | Practice locations: New York, NY |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006036-1 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Planetarium Consulting & Psychotherapy Services | Psychologist | Past | 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.
-
- Psychologist
- New York, NY
- NPI 1548548936
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1104980630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "138 W 25TH ST",
"address_2": "SUITE 801",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100017405",
"telephone_number": "212-741-1080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "138 W 25TH ST",
"address_2": "SUITE 801",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100017405",
"telephone_number": "212-741-1080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAYES",
"first_name": "JANET",
"middle_name": "ROSE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "006036-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "H.I.P.",
"identifier": "006036- NO1",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01293461",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BEACON",
"identifier": "1057740",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "144437",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P1241718",
"state": "NY"
}
],
"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 Jul 8, 2007; 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.