Individual provider Active NPI

Jonathan Eger, PSY.D.

  • Clinical Psychologist
  • New York, NY
National Provider Identifier
1265695738
Registry record updated Mar 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
018535 Issued in NY
Practice address
155 E 91St St
#1D
New York, NY 10128-2440
Phone
(646) 322-9787
NPI assigned
Jul 5, 2008
Last updated
Mar 29, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2010

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 018535 NY Primary

Addresses

Primary practice location

155 E 91St St
#1D
New York, NY 10128-2440

Mailing address

155 E 91St St
#1D
New York, NY 10128-2440
Phone (646) 322-9787

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
I20100608000826 NY Practitioner - Clinical Psychologist 1951431568 Reassigns benefits to 1 organization
Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

108 E 91St St
Apt 1B
New York, NY 10128-1659
Phone (917) 473-1423

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Park Psychological Services, P.C. Clinical CurrentSince Dec 15, 2023 Accepting new patients

Locations

108 E 91st St
Apt 1B
New York, NY 10128
Phone (212) 289-2077

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, 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": "1215216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269820800000",
    "number": "1265695738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 E 91ST ST",
            "address_2": "#1D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101282440",
            "telephone_number": "646-322-9787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 E 91ST ST",
            "address_2": "#1D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101282440",
            "telephone_number": "646-322-9787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGER",
        "first_name": "JONATHAN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-05",
        "last_updated": "2010-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "018535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.