Individual provider Active NPI

Neal Bauer, PSY.D.

  • Clinical Psychologist
  • Brooklyn, NY
National Provider Identifier
1336697903
Registry record updated Sep 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
021819 Issued in NY
Practice address
1228 E 85TH St
Brooklyn, NY 11236-4926
Phone
(347) 796-1161
NPI assigned
Sep 13, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2016

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 021819 NY Primary

Addresses

Primary practice location

1228 E 85TH St
Brooklyn, NY 11236-4926

Mailing address

1228 E 85TH St
Brooklyn, NY 11236-4926
Phone (347) 796-1161

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
I20161014000843 NY Practitioner - Clinical Psychologist 9436447034 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Only-Connect Psychological Services PLLCGroup PAC ID 4486190147, 2 clinicians

Practice addresses (Care Compare)

1216 Broadway
New York, NY 10001-4483
Phone (917) 690-3272

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
021819NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Only-Connect Psychological Services PLLC CurrentSince Jul 1, 2024 Accepting new patients

Locations

1216 Broadway
New York, NY 10001
Phone (646) 688-3540

1216 Broadway
Fl 2
New York, NY 10001
Phone (617) 356-8039

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": "1473724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473724800000",
    "number": "1336697903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1228 E 85TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112364926",
            "telephone_number": "347-796-1161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1228 E 85TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112364926",
            "telephone_number": "347-796-1161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUER",
        "first_name": "NEAL",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-13",
        "last_updated": "2016-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "021819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.