Individual provider Active NPI

John R Ashburn Jr., PHD

  • Clinical Psychologist
  • Hopewell Junction, NY
National Provider Identifier
1124178538
Registry record updated Sep 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
020349 Issued in NY
Practice address
2345 Route 52 Ste F
Hopewell Junction, NY 12533-3218
Phone
(845) 629-0034
NPI assigned
Jan 11, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2025

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 020349 NY Primary

Addresses

Primary practice location

2345 Route 52 Ste F
Hopewell Junction, NY 12533-3218

Mailing address

PO Box 43
Wappingers Falls, NY 12590-0043
Phone (845) 849-1958

Other identifiers 1

IdentifierTypeStateIssuer
03914270MedicaidNY

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
I20150317000743 NY Practitioner - Clinical Psychologist 0345567129 Practice locations: Hopewell Junction, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2345 Route 52
Suite F
Hopewell Junction, NY 12533-3218
Phone (845) 629-0034

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
020349NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Susan M. Perkins NP Psychiatry Counseling Services, PLLC PastSince Apr 1, 2020 Accepting new patients
Donna Johanson LCSW LLC PastSince Apr 26, 2020 Accepting new patients
Michael Lapidus, MD PC PastSince Apr 26, 2020 Accepting new patients

Organizations & group practices 3

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": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757030400000",
    "number": "1124178538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 43",
            "city": "WAPPINGERS FALLS",
            "state": "NY",
            "postal_code": "125900043",
            "telephone_number": "845-849-1958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2345 ROUTE 52 STE F",
            "city": "HOPEWELL JUNCTION",
            "state": "NY",
            "postal_code": "125333218",
            "telephone_number": "845-629-0034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASHBURN",
        "first_name": "JOHN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "020349",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03914270",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hopewell Junction, NY

Sources for this page

Verify at the official NPI Registry.