Individual provider Active NPI

Paul Hymowitz, PH.D.

  • Clinical Child & Adolescent Psychologist
  • New York, NY
National Provider Identifier
1124141056
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
License
6323 Issued in NY
Practice address
60 W 13TH St
New York, NY 10011-7959
Phone
(212) 645-8815
Fax
(646) 230-8143
NPI assigned
Apr 7, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent Psychologist 103TC2200X 6323 NY Primary

Addresses

Primary practice location

60 W 13TH St
New York, NY 10011-7959

Mailing address

60 W 13TH St
New York, NY 10011-7959
Phone (212) 645-8815

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
I20120103000030 NY Practitioner - Clinical Psychologist 5294901831 Reassigns benefits to 1 organization
Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

60 W 13TH St
New York, NY 10011-7959
Phone (212) 645-8815

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
6323NYMDClinical Child & Adolescent Psychologist
006323NYMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Karen Horney Clinic, Inc. CurrentSince Dec 1, 2016 Accepting new patients

Locations

329 E 62nd St
New York, NY 10065
Phone (212) 838-4333

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1175904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124141056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 W 13TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100117959",
            "telephone_number": "212-645-8815",
            "fax_number": "646-230-8143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 W 13TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100117959",
            "telephone_number": "212-645-8815",
            "fax_number": "646-230-8143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HYMOWITZ",
        "first_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NY",
            "license": "6323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.