Earl Dworkin, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

003374-1 Issued in NY

Practice address

1430 Valencia Rd
Schenectady, NY 12309-4318

Phone

(518) 374-7925

NPI assigned

Feb 21, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Clinical Psychologist

Education

University of Rochester School of Medicine and Dentistry, 1967

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Healthy Connections Psychological Services PLLCGroup PAC ID 1850512021, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Healthy Connections Psychological Services, PLLC

  • Clinical Psychologist
  • New York, NY
  • NPI 1669886099
  Medicare reassignment Care Compare group
• Frank J Corigliano PHD Psychologist, PC

  • Clinical Psychologist
  • New York, NY
  • NPI 1104232297
  NPD
• Senior Citizens Care Group,LLP

  • Clinical Psychologist
  • New York, NY
  • NPI 1639259336
  NPD (past)

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164567533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 VALENCIA RD",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123094318",
            "telephone_number": "518-374-7925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 VALENCIA RD",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123094318",
            "telephone_number": "518-374-7925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DWORKIN",
        "first_name": "EARL",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "003374-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02549177",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hunter Dupont, PA
• Elizabeth Duquette, FNP
• Jessica Durham, DVM
• Michelle Anne Durling, RN
• Jennifer E Durocher, PA
• Paul Dworkin, M.D.
• Dynamic Dental Systems Inc
• Kevin Eames
• Easily and Quick
• Melanie Lynn Ebbing, REGISTERED NURSE

• Clinical Psychologist in Schenectady, NY
• Providers in Schenectady, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.