Individual provider Active NPI

Micah Savin, PHD

  • Clinical Psychologist
  • New York, NY
National Provider Identifier
1275347908
Registry record updated May 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
027138 Issued in NY
Practice address
535 E 78TH St Apt 4D
New York, NY 10075-1133
Phone
(760) 688-6880
NPI assigned
Feb 4, 2025
Sex
Unspecified or another gender identity
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2025

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 027138 NY Primary

Addresses

Primary practice location

535 E 78TH St Apt 4D
New York, NY 10075-1133

Mailing address

535 E 78TH St Apt 4D
New York, NY 10075-1133
Phone (760) 688-6880

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
I20250613000112 NY Practitioner - Clinical Psychologist 5193236586 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Fordham University School of Medicine, 2023
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Nysarc Inc. Nyc ChapterGroup PAC ID 7214030634, 20 clinicians

Practice addresses (Care Compare)

2488 Grand Concourse
Bronx, NY 10458-5203
Phone (718) 367-3691

83 Maiden LN
New York, NY 10038-4812

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
027138NYMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Nysarc Inc CurrentSince Apr 28, 2025 Accepting new patients

Locations

83 Maiden Ln
New York, NY 10038
Phone (212) 780-2578

83 Maiden Ln
Fl 8
New York, NY 10038
Phone (212) 895-3477

83 Maiden Ln
Fl 7
New York, NY 10038
Phone (212) 780-2564

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": "1738627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746489600000",
    "number": "1275347908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 E 78TH ST APT 4D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100751133",
            "telephone_number": "760-688-6880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 E 78TH ST APT 4D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100751133",
            "telephone_number": "760-688-6880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAVIN",
        "first_name": "MICAH",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2025-02-04",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "027138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.