Individual provider Active NPI

Arnon Ben-Yoseph, PSY.D.

  • Clinical Psychologist
  • Brewster, NY
National Provider Identifier
1356652648
Registry record updated Jul 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
015471-1 Issued in NY
Practice address
1620 Rte 22
Brewster, NY 10509-4051
Phone
(845) 278-2500
Fax
(845) 278-0781
NPI assigned
Jul 1, 2010
Last updated
Jul 1, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2010

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 015471-1 NY Primary

Addresses

Primary practice location

1620 Rte 22
Brewster, NY 10509-4051

Mailing address

1620 Rte 22
Brewster, NY 10509-4051
Phone (845) 278-2500

Other identifiers 1

IdentifierTypeStateIssuer
00769457MedicaidNY

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
I20240705001428 NY Order and Referring Only - Clinical Psychologist 3476097155

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
015471-1NYMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1277942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277942400000",
    "number": "1356652648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 RTE 22",
            "city": "BREWSTER",
            "state": "NY",
            "postal_code": "105094051",
            "telephone_number": "845-278-2500",
            "fax_number": "845-278-0781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 RTE 22",
            "city": "BREWSTER",
            "state": "NY",
            "postal_code": "105094051",
            "telephone_number": "845-278-2500",
            "fax_number": "845-278-0781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEN-YOSEPH",
        "first_name": "ARNON",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-01",
        "last_updated": "2010-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "015471-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00769457",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brewster, NY

Sources for this page

Verify at the official NPI Registry.