Individual provider Active NPI

Maria Denise Klara, PSY.D.

  • Psychologist
  • New York, NY
National Provider Identifier
1154595924
Registry record updated Feb 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Practice address
1St Avenue at 16TH Street - Beth Israel Medical Center
Bernstein Pavillion - 2ND Floor - Room 40
New York, NY 10003
Phone
(212) 420-4428
NPI assigned
Apr 14, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X Primary
Psychiatric Residential Treatment Facility 323P00000X

Addresses

Primary practice location

1St Avenue at 16TH Street - Beth Israel Medical Center
Bernstein Pavillion - 2ND Floor - Room 40
New York, NY 10003

Mailing address

1St Avenue at 16TH Street - Beth Israel Medical Center
Bernstein Pavillion - 2ND Floor - Room 40
New York, NY 10003
Phone (212) 420-4428

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
I20160309001536 NY Practitioner - Clinical Psychologist 8628374113 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Icahn School of Medicine at Mount Sinai Current Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Jan 1, 2016 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Jan 1, 2016 Accepting new patients

Locations

10 Union Sq E
New York, NY 10003
Phone (212) 253-6800

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": "1208131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392854400000",
    "number": "1154595924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1ST AVENUE AT 16TH STREET - BETH ISRAEL MEDICAL CENTER",
            "address_2": "BERNSTEIN PAVILLION - 2ND FLOOR - ROOM 40",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10003",
            "telephone_number": "212-420-4428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1ST AVENUE AT 16TH STREET - BETH ISRAEL MEDICAL CENTER",
            "address_2": "BERNSTEIN PAVILLION - 2ND FLOOR - ROOM 40",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10003",
            "telephone_number": "212-420-4428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLARA",
        "first_name": "MARIA",
        "middle_name": "DENISE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-14",
        "last_updated": "2014-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.