Active NPI
Matthew E. Korner, PSY.D.
- Clinical Psychologist
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 017567
- Practice address
- 32 Union SQ E Ste 1100
New York, NY 10003-3209 - Phone
- (917) 916-9052
- NPI assigned
- Nov 17, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 017567 | NY | |
| Rehabilitation Psychologist | 103TR0400X | 017567 | NY | |
| Clinical Psychologist | 103TC0700X | 017567 | NY | Primary |
Addresses
Primary practice location
32 Union SQ E Ste 1100
New York, NY 10003-3209
Mailing address
4 Dogwood Close
Briarcliff Manor, NY 10510-1905
Phone (917) 916-9052
Other practice location 1
444 Bedford Rd Ste 307
Pleasantville, NY 10570-3031
Phone (917) 916-9052
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
32 Union SQ E
Suite 1100
New York, NY 10003-3226
Phone (917) 916-9052
444 Bedford Rd
Suite 307
Pleasantville, NY 10570-3031
Phone (917) 916-9052
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 017567 | NY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Matthew E Korner PSYD PC | Clinical | Current | Accepting new patients |
Locations
32 Union Sq E
Ste 1100
New York, NY 10003
Phone (212) 675-3205
444 Bedford Rd
#307
Pleasantville, NY 10570
Phone (917) 907-5225
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.
-
- Clinical Psychologist
- New York, NY
- NPI 1114353190
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720396800000",
"number": "1295989317",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 DOGWOOD CLOSE",
"city": "BRIARCLIFF MANOR",
"state": "NY",
"postal_code": "105101905",
"telephone_number": "917-916-9052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "32 UNION SQ E STE 1100",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100033209",
"telephone_number": "917-916-9052"
}
],
"practiceLocations": [
{
"address_1": "444 Bedford Rd Ste 307",
"address_purpose": "LOCATION",
"city": "Pleasantville",
"state": "NY",
"postal_code": "105703031",
"country_code": "US",
"telephone_number": "917-916-9052",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KORNER",
"first_name": "MATTHEW",
"middle_name": "E.",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-11-17",
"last_updated": "2024-07-08",
"certification_date": "2024-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "017567",
"primary": false
},
{
"code": "103TR0400X",
"taxonomy_group": "",
"desc": "Psychologist, Rehabilitation",
"state": "NY",
"license": "017567",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "017567",
"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 Jul 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.