Organization Active NPI

Nadzieja Hope Polish American Psychological Services

  • Clinical Psychologist
  • New York, NY
National Provider Identifier
1144961061
Registry record updated Jun 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
NADZIEJA HOPE POLISH AMERICAN PSYCHOLOGICAL SERVICES
Practice address
90 Broad St FL 10
Suite 1012
New York, NY 10004-2297
Phone
(347) 610-5535
Fax
(347) 763-2044
NPI assigned
Apr 5, 2022
Last updated
Jun 17, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2023

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

Authorized official

Name
Dr. Monika K. Herrera, PSYD.NPI 1073131124
Title
Owner
Phone
(212) 710-2663

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X NU
Clinical Psychologist 103TC0700X NU Primary
Clinical Child & Adolescent Psychologist 103TC2200X NU
Intellectual & Developmental Disabilities Psychologist 103TM1800X NU

Addresses

Primary practice location

90 Broad St FL 10
Suite 1012
New York, NY 10004-2297

Mailing address

90 Broad St FL 10
New York, NY 10004-2297

Other practice location 1

101 Hudson St Fl 21
Jersey City, NJ 07302-3929
Phone (646) 725-2719

Other identifiers 1

IdentifierTypeStateIssuer
07134036MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220613001031 NY Part B Supplier - Clinic/Group Practice 5597143065 Receives reassigned benefits from 1 practitioner
Practice locations: Ridgewood, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1649116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686960000000",
    "number": "1144961061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 BROAD ST FL 10",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100042297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 BROAD ST FL 10",
            "address_2": "SUITE 1012",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100042297",
            "telephone_number": "347-610-5535",
            "fax_number": "347-763-2044"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Hudson St Fl 21",
            "address_purpose": "LOCATION",
            "city": "Jersey City",
            "state": "NJ",
            "postal_code": "073023929",
            "country_code": "US",
            "telephone_number": "646-725-2719",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NADZIEJA HOPE POLISH AMERICAN PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-05",
        "last_updated": "2023-06-17",
        "certification_date": "2023-06-17",
        "status": "A",
        "authorized_official_last_name": "HERRERA",
        "authorized_official_first_name": "MONIKA",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-710-2663",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07134036",
            "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 Jun 17, 2023; 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.