Organization Active NPI

Nancy J. Hoffer PH.D, Psychologist, PC

  • Clinical Psychologist
  • New York, NY
National Provider Identifier
1184043937
Registry record updated Oct 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
013633-1 Issued in NY
Legal business name
NANCY J. HOFFER PH.D, PSYCHOLOGIST, PC
Practice address
222 Broadway FL 19
New York, NY 10038-2550
Phone
(917) 860-2912
Fax
(877) 811-8262
NPI assigned
Apr 9, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2023

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

Authorized official

Name
Dr. Nancy J Hoffer, PH.D.NPI 1922165687
Title
President
Phone
(917) 860-2912

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 013633-1 NY Primary

Addresses

Primary practice location

222 Broadway FL 19
New York, NY 10038-2550

Mailing address

222 Broadway FL 19
New York, NY 10038-2550
Phone (917) 860-2912

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140804000283 NY Part B Supplier - Clinic/Group Practice 0941427637 Receives reassigned benefits from 1 practitioner
Practice locations: New York, NY

National Provider Directory

National Provider Directory
Tax ID family
Nancy Hoffer PHD Psychologist PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

225 Broadway
Ste 3402
New York, NY 10007
Phone (212) 217-2064

150 Broadway
Ste 2206
New York, NY 10038

150 Broadway
#2006
New York, NY 10038

225 Broadway
Ste 1905
New York, NY 10007
Phone (212) 217-2064

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1397001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698624000000",
    "number": "1184043937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 BROADWAY FL 19",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100382550",
            "telephone_number": "917-860-2912",
            "fax_number": "877-811-8262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 BROADWAY FL 19",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100382550",
            "telephone_number": "917-860-2912",
            "fax_number": "877-811-8262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NANCY J. HOFFER PH.D, PSYCHOLOGIST, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-09",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A",
        "authorized_official_last_name": "HOFFER",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-860-2912",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "013633-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.