Individual provider Active NPI

Karen Marisak, PH.D.

  • Cognitive & Behavioral Psychologist
  • New York, NY
National Provider Identifier
1346454279
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X
License
006694 Issued in NY
Practice address
20 W 86TH St
Suite 1Aa
New York, NY 10024-3604
Phone
(212) 874-6487
Fax
(212) 866-7737
NPI assigned
May 9, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 006694 NY
Addiction (Substance Use Disorder) Psychologist 103TA0400X 006694 NY
Adult Development & Aging Psychologist 103TA0700X 006694 NY
Cognitive & Behavioral Psychologist 103TB0200X 006694 NY Primary
Clinical Psychologist 103TC0700X 006694 NY
Clinical Child & Adolescent Psychologist 103TC2200X 006694 NY
Family Psychologist 103TF0000X 006694 NY
Psychoanalysis Psychologist 103TP0814X 006694 NY

Addresses

Primary practice location

20 W 86TH St
Suite 1Aa
New York, NY 10024-3604

Mailing address

20 W 86TH St
Suite 1Aa
New York, NY 10024-3604
Phone (212) 874-6487

Other identifiers 2

IdentifierTypeStateIssuer
P590762OtherNYOXFORD PROVIDER ID
01459828MedicaidNY

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
I20110315000006 NY Practitioner - Clinical Psychologist 0244412138 Reassigns benefits to 1 organization
Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

20 W 86TH St
1Aa
New York, NY 10024-3604
Phone (212) 874-6487

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
006694NYMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Flushing Hospital Medical Center CurrentSince Jun 18, 2019 Accepting new patients
Flushing Hospital & Medical Center CurrentSince Jun 18, 2019 Accepting new patients

Locations

14601 45th Ave
Flushing, NY 11355
Phone (718) 670-5562

14601 45th Ave
Ste 310
Flushing, NY 11355
Phone (718) 670-5468

80 Marcus Dr
Melville, NY 11747
Phone (631) 391-7889

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1346454279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 W 86TH ST",
            "address_2": "SUITE 1AA",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100243604",
            "telephone_number": "212-874-6487",
            "fax_number": "212-866-7737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 W 86TH ST",
            "address_2": "SUITE 1AA",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100243604",
            "telephone_number": "212-874-6487",
            "fax_number": "212-866-7737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARISAK",
        "first_name": "KAREN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-09",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "006694",
            "primary": false
        },
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "006694",
            "primary": false
        },
        {
            "code": "103TA0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Adult Development & Aging",
            "state": "NY",
            "license": "006694",
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "NY",
            "license": "006694",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "006694",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NY",
            "license": "006694",
            "primary": false
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": "NY",
            "license": "006694",
            "primary": false
        },
        {
            "code": "103TP0814X",
            "taxonomy_group": "",
            "desc": "Psychologist, Psychoanalysis",
            "state": "NY",
            "license": "006694",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD PROVIDER ID",
            "identifier": "P590762",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01459828",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.