Individual provider Active NPI

Steven Louis Demby, PH,D,

  • Clinical Psychologist
  • Brooklyn, NY
National Provider Identifier
1164689246
Registry record updated May 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
006585 Issued in NY
Practice address
465 Henry St
Brooklyn, NY 11231-3011
Phone
(718) 797-2683
Fax
(718) 797-2683
NPI assigned
May 17, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2008

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 006585 NY Primary
Clinical Child & Adolescent Psychologist 103TC2200X 006585 NY
Forensic Psychologist 103TF0200X 006585 NY

Addresses

Primary practice location

465 Henry St
Brooklyn, NY 11231-3011

Mailing address

465 Henry St
Brooklyn, NY 11231-3011
Phone (718) 797-2683

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
I20200603001541 NY Practitioner - Clinical Psychologist 4688095474 Practice locations: Brooklyn, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

465 Henry St
Brooklyn, NY 11231-3011
Phone (718) 797-2683

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
006585NYMDForensic Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1210982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210982400000",
    "number": "1164689246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 HENRY ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112313011",
            "telephone_number": "718-797-2683",
            "fax_number": "718-797-2683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 HENRY ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112313011",
            "telephone_number": "718-797-2683",
            "fax_number": "718-797-2683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMBY",
        "first_name": "STEVEN",
        "middle_name": "LOUIS",
        "name_prefix": "Dr.",
        "credential": "PH,D,",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-17",
        "last_updated": "2008-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "006585",
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NY",
            "license": "006585",
            "primary": false
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "NY",
            "license": "006585",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.