Individual provider Active NPI

Robert Anthony Albano, PH.D.

  • Clinical Psychologist
  • Brooklyn, NY
National Provider Identifier
1316088123
Registry record updated Feb 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
011441 Issued in NY
Practice address
1165 72ND St
Brooklyn, NY 11228-1305
Phone
(718) 680-4019
Fax
(718) 680-4019
NPI assigned
Feb 12, 2007
Last updated
Feb 12, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 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 011441 NY Primary

Addresses

Primary practice location

1165 72ND St
Brooklyn, NY 11228-1305

Mailing address

1165 72ND St
Brooklyn, NY 11228-1305
Phone (917) 593-1679

Other identifiers 1

IdentifierTypeStateIssuer
01384192MedicaidNY

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
I20101029000003 NY Practitioner - Clinical Psychologist 2769676212 Practice locations: Brooklyn, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Fordham University School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1165 72ND St
Brooklyn, NY 11228-1305

545 73Rd St
Brooklyn, NY 11209-2611
Phone (718) 680-4019

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
011441NYMDVeterinarian

Practice roles

OrganizationSpecialtyStatusNew patients
G S Psychotherapy Services Corp Past Accepting new patients
Ian Rugg Psychology PLLC Clinical PastSince Apr 14, 2018 Accepting new patients

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 2

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": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581465600000",
    "number": "1316088123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1165 72ND ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112281305",
            "telephone_number": "917-593-1679",
            "fax_number": "718-680-4019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1165 72ND ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112281305",
            "telephone_number": "718-680-4019",
            "fax_number": "718-680-4019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALBANO",
        "first_name": "ROBERT",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-12",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "011441",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01384192",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.