Individual provider Active NPI

Hanni L Dorn, PHD

  • Clinical Neuropsychologist
  • Rye Brook, NY
National Provider Identifier
1346336377
Registry record updated Feb 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
014354-1 Issued in NY
Practice address
800 Westchester Ave
Suite 641 N
Rye Brook, NY 10573-1354
Phone
(914) 481-8313
Fax
(914) 872-4051
NPI assigned
Oct 5, 2006
Last updated
Feb 15, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 014354-1 NY Primary

Addresses

Primary practice location

800 Westchester Ave
Suite 641 N
Rye Brook, NY 10573-1354

Mailing address

640 Forest Ave
Mamaroneck, NY 10543-4413
Phone (914) 381-9189

Other identifiers 1

IdentifierTypeStateIssuer
014354-1OtherNYSTATE LICENSE

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
I20080402000914 NY Practitioner - Clinical Psychologist 2264519107 Practice locations: Rye Brook, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

800 Westchester Ave
Suite 641 N
Rye Brook, NY 10573-1360
Phone (914) 481-8313

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
014354-1NYMDClinical Neuropsychologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203033600000",
    "number": "1346336377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 FOREST AVE",
            "city": "MAMARONECK",
            "state": "NY",
            "postal_code": "105434413",
            "telephone_number": "914-381-9189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 WESTCHESTER AVE",
            "address_2": "SUITE 641 N",
            "city": "RYE BROOK",
            "state": "NY",
            "postal_code": "105731354",
            "telephone_number": "914-481-8313",
            "fax_number": "914-872-4051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORN",
        "first_name": "HANNI",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2008-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NY",
            "license": "014354-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "014354-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rye Brook, NY

Sources for this page

Verify at the official NPI Registry.