Organization Active NPI

Clinical Psychassociates LLP

  • Clinical Psychologist
  • New York, NY
National Provider Identifier
1124051925
Registry record updated Dec 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
CLINICAL PSYCHASSOCIATES LLP
Practice address
156 W 56TH St Ste 1804
New York, NY 10019-3878
Phone
(212) 851-8100
Fax
(212) 537-0102
NPI assigned
Jul 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2018

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

Authorized official

Name
Eric I Garfinkel, PH.D.NPI 1801800925
Title
C.E.O.
Phone
(212) 851-8100

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

156 W 56TH St Ste 1804
New York, NY 10019-3878

Mailing address

156 W 56TH St Ste 1804
New York, NY 10019-3878
Phone (212) 851-8100

Other identifiers 1

IdentifierTypeStateIssuer
01496299MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040322001560 NY Part B Supplier - Clinic/Group Practice 3072404888 Receives reassigned benefits from 44 practitioners
Practice locations: Kings Park, NY; Mamaroneck, NY; New Rochelle, NY; New York, NY; Rhinebeck, NY; Smithtown, NY; Staten Island, NY; Troy, NY…

National Provider Directory

National Provider Directory

Locations

156 W 56th St
Ste 1804
New York, NY 10019
Phone (212) 851-8100

910 W End Ave
Apt 1C
New York, NY 10025
Phone (212) 662-5185

1745 Broadway
Fl 17
New York, NY 10019
Phone (212) 851-8100

115 Park Ave
Yonkers, NY 10703
Phone (718) 423-9800

Practitioners & affiliated clinicians

Practitioners 178

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

View all 178

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544745600000",
    "number": "1124051925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "156 W 56TH ST STE 1804",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100193878",
            "telephone_number": "212-851-8100",
            "fax_number": "212-537-0102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 W 56TH ST STE 1804",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100193878",
            "telephone_number": "212-851-8100",
            "fax_number": "212-537-0102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICAL PSYCHASSOCIATES LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2018-12-14",
        "status": "A",
        "authorized_official_last_name": "GARFINKEL",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "C.E.O.",
        "authorized_official_telephone_number": "212-851-8100",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01496299",
            "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 Dec 14, 2018; 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.