Individual provider Active NPI

Micah Galen Duchan, PSY.D.

  • Cognitive & Behavioral Psychologist
  • Brooklyn, NY
National Provider Identifier
1174667349
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X
License
015058 Issued in NY
Practice address
2026 E 35TH St
Brooklyn, NY 11234-4922
Phone
(718) 375-8332
NPI assigned
Feb 19, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 015058 NY Primary

Addresses

Primary practice location

2026 E 35TH St
Brooklyn, NY 11234-4922

Mailing address

2026 E 35TH St
Brooklyn, NY 11234-4922
Phone (718) 375-8332

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
I20040719000084 NY Practitioner - Clinical Psychologist 5991784480 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Epic Medical Services PCGroup PAC ID 8628365582, 27 clinicians

Practice addresses (Care Compare)

1500 Hempstead Tpke
East Meadow, NY 11554-1551
Phone (516) 739-7733

7649 Hewlett St
New Hyde Park, NY 11040-1429
Phone (212) 388-0767

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Epic Medical Services PC CurrentSince Apr 1, 2016 Accepting new patients
Lifespire, Inc. CurrentSince Jan 1, 2015 Accepting new patients
Lifespire, Inc. CurrentSince Jan 1, 2015 Accepting new patients
MHH Psychology and Speech-Language Pathology Therapy Services PLLC CurrentSince Sep 13, 2019 Accepting new patients
Beacon Speech-Language Pathology Physical and Occupational Therapy CurrentSince Feb 1, 2017 Accepting new patients
Empress Ambulance Service LLC Past Accepting new patients

Locations

21301 Northern Blvd
Fl 2
Bayside, NY 11361
Phone (718) 721-5444

1315 Loomis St
Bronx, NY 10461
Phone (718) 892-7801

2435 Harway Ave
Brooklyn, NY 11214
Phone (212) 741-0100

1500 Hempstead Tpke
East Meadow, NY 11554
Phone 51673977331420

16210 Jamaica Ave
Ste 7
Jamaica, NY 11432
Phone (718) 454-2700

159 E 125th St
New York, NY 10035
Phone (212) 996-7381

159 E 125th St
Fl 2
New York, NY 10035
Phone (212) 360-5600

27 W 23rd St
New York, NY 10010
Phone (212) 463-0400

350 5th Ave
Ste 301
New York, NY 10118

1441 Old Northern Blvd
Roslyn, NY 11576
Phone (516) 625-6846

1150 Forest Hill Rd
Bldg 16
Staten Island, NY 10314
Phone (718) 494-7542

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174667349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2026 E 35TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112344922",
            "telephone_number": "718-375-8332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2026 E 35TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112344922",
            "telephone_number": "718-375-8332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUCHAN",
        "first_name": "MICAH",
        "middle_name": "GALEN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "NY",
            "license": "015058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.