Individual provider Active NPI

Ashley Danielle Golub, PSY.D.

  • Clinical Psychologist
  • New York, NY
National Provider Identifier
1114282399
Registry record updated Jul 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
P84523 Issued in NY
Practice address
37 W 26TH St
6TH Floor, New Alternatives for Children
New York, NY 10010-1006
Phone
(212) 696-1550
Fax
(212) 696-1602
NPI assigned
Jul 12, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2012

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 P84523 NY Primary

Addresses

Primary practice location

37 W 26TH St
6TH Floor, New Alternatives for Children
New York, NY 10010-1006

Mailing address

37 W 26TH St
6TH Floor, New Alternatives for Children
New York, NY 10010-1006
Phone (212) 696-1550

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
I20160826000093 NY Practitioner - Clinical Psychologist 9335434562 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Alternatives for Children IncGroup PAC ID 7012211022, 9 clinicians

Practice addresses (Care Compare)

37 W 26TH St
FL 6
New York, NY 10010-1058
Phone (646) 352-9068

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P84523NYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
New Alternatives for Children Inc. CurrentSince Aug 3, 2016 Accepting new patients
Petrychenko Physician PC Past Accepting new patients

Locations

37 W 26th St
Fl 6
New York, NY 10010
Phone (212) 696-1550

Organizations & group practices 2

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": "1342051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342051200000",
    "number": "1114282399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 W 26TH ST",
            "address_2": "6TH FLOOR, NEW ALTERNATIVES FOR CHILDREN",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100101006",
            "telephone_number": "212-696-1550",
            "fax_number": "212-696-1602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 W 26TH ST",
            "address_2": "6TH FLOOR, NEW ALTERNATIVES FOR CHILDREN",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100101006",
            "telephone_number": "212-696-1550",
            "fax_number": "212-696-1602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLUB",
        "first_name": "ASHLEY",
        "middle_name": "DANIELLE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-12",
        "last_updated": "2012-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "P84523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.