Individual provider Active NPI

Or Dagan, PHD

  • Clinical Psychologist
  • New York, NY
National Provider Identifier
1184248767
Registry record updated May 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
023432 Issued in NY
Practice address
17 Stuyvesant Oval Apt 10F
New York, NY 10009-1929
Phone
(646) 270-1100
NPI assigned
May 30, 2020
Last updated
May 30, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 023432 NY Primary

Addresses

Primary practice location

17 Stuyvesant Oval Apt 10F
New York, NY 10009-1929

Mailing address

17 Stuyvesant Oval Apt 10F
New York, NY 10009-1929
Phone (646) 270-1100

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL NYC Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
023432NYMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1590796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590796800000",
    "number": "1184248767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 STUYVESANT OVAL APT 10F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100091929",
            "telephone_number": "646-270-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 STUYVESANT OVAL APT 10F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100091929",
            "telephone_number": "646-270-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAGAN",
        "first_name": "OR",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-05-30",
        "last_updated": "2020-05-30",
        "certification_date": "2020-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "023432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "NYC",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "17 Stuyvesant Oval Apt 10F",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100091929",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 May 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.