Organization Active NPI

Matthew E Korner PSYD PC

  • Clinical Psychologist
  • New York, NY
National Provider Identifier
1114353190
Registry record updated Jul 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
MATTHEW E KORNER PSYD PC
Practice address
32 Union SQ E Ste 1100
New York, NY 10003-3209
Phone
(917) 916-9052
NPI assigned
Sep 23, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2024

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

Authorized official

Name
Matthew Emanuel Korner, PSYDNPI 1295989317
Title
President
Phone
(917) 916-9052

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

32 Union SQ E Ste 1100
New York, NY 10003-3209

Mailing address

4 Dogwood Close
Briarcliff Manor, NY 10510-1905

Other names 1

  • Union Square Psychology Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131113001219 NY Part B Supplier - Clinic/Group Practice 4587890918 Receives reassigned benefits from 4 practitioners
Practice locations: New York, NY; Pleasantville, NY

National Provider Directory

National Provider Directory

Locations

32 Union Sq E
Ste 1100
New York, NY 10003
Phone (212) 675-3205

444 Bedford Rd
#307
Pleasantville, NY 10570
Phone (917) 907-5225

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1379894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720396800000",
    "number": "1114353190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 DOGWOOD CLOSE",
            "city": "BRIARCLIFF MANOR",
            "state": "NY",
            "postal_code": "105101905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 UNION SQ E STE 1100",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100033209",
            "telephone_number": "917-916-9052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW E KORNER PSYD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-23",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A",
        "authorized_official_last_name": "KORNER",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "EMANUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-916-9052",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Union Square Psychology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.