Individual provider Active NPI

Yair Kramer, PSY.D.

  • Psychologist
  • New York, NY
National Provider Identifier
1134561970
Registry record updated Apr 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
020259 Issued in NY
Practice address
170 W 73Rd St Lbby Suite
New York, NY 10023-3006
Phone
(914) 450-5797
NPI assigned
Jul 22, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 020259 NY Primary

Addresses

Primary practice location

170 W 73Rd St Lbby Suite
New York, NY 10023-3006

Mailing address

111 Buttonwood Dr
Dix Hills, NY 11746-4834
Phone (914) 450-5797

Other practice location 1

545 W 236th St
Suite C
Bronx, NY 10463-1710
Phone (914) 450-5797

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 13, 2021 through Apr 13, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
020259NYMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1374451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618012800000",
    "number": "1134561970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 BUTTONWOOD DR",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117464834",
            "telephone_number": "914-450-5797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 W 73RD ST LBBY SUITE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100233006",
            "telephone_number": "914-450-5797"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "545 W 236th St",
            "address_2": "Suite C",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104631710",
            "country_code": "US",
            "telephone_number": "914-450-5797",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRAMER",
        "first_name": "YAIR",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-22",
        "last_updated": "2021-04-10",
        "certification_date": "2021-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "020259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.