Individual provider Active NPI

Amy L Horowitz, PSY. D.

  • Cognitive & Behavioral Psychologist
  • New York, NY
National Provider Identifier
1174284194
Registry record updated Mar 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X
License
019913 Issued in NY
Practice address
125 W 72ND St RM 4R
New York, NY 10023-3278
Phone
(917) 972-5671
NPI assigned
Jan 2, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cognitive & Behavioral Psychologist 103TB0200X 019913 NY Primary

Addresses

Primary practice location

125 W 72ND St RM 4R
New York, NY 10023-3278

Mailing address

28 Broadway Ste 304
New York, NY 10004-1703
Phone (631) 513-0895

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Nov 14, 2023 through Nov 14, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
019913NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Tamar Gordon Psychology PLLC CurrentSince Jan 17, 2022 Accepting new patients

Locations

125 W 72nd St
Rm 4R
New York, NY 10023
Phone (347) 565-5278

Organizations & group practices 1

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": "1641081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678492800000",
    "number": "1174284194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 BROADWAY STE 304",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100041703",
            "telephone_number": "631-513-0895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 W 72ND ST RM 4R",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100233278",
            "telephone_number": "917-972-5671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOROWITZ",
        "first_name": "AMY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "PSY. D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-02",
        "last_updated": "2023-03-11",
        "certification_date": "2023-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "NY",
            "license": "019913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.