Individual provider Active NPI

Annegret Brown-Anderson, PH.D.

  • Clinical Psychologist
  • Woodbury, NY
National Provider Identifier
1366479735
Registry record updated Aug 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
012850-1 Issued in NY
Practice address
378 Syosset Woodbury Rd
Woodbury, NY 11797-1200
Phone
(516) 921-3900
NPI assigned
Jun 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2015

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 012850-1 NY Primary

Addresses

Primary practice location

378 Syosset Woodbury Rd
Woodbury, NY 11797-1200

Mailing address

1 Old Country Rd
Suite 271
Carle Place, NY 11514-1801
Phone (800) 725-6280

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
I20101130001346 NY Practitioner - Clinical Psychologist 9234325341 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Che Senior Psychological Services, PCGroup PAC ID 8022905314, 227 clinicians

Practice addresses (Care Compare)

135 Vanderbilt Ave
Staten Island, NY 10304-2604
Phone (800) 275-3243

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
012850-1NYMDClinical Psychologist
012850NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Healthcare Services PLLC Clinical CurrentSince May 1, 2014 Accepting new patients
Knapp Street Psychiatry, PC Clinical CurrentSince Apr 1, 2015 Accepting new patients
Che Senior Psychological Services, PC Clinical CurrentSince Apr 1, 2015 Accepting new patients
Hospitalist Healthcare Services PLLC CurrentSince May 1, 2014 Accepting new patients
Hospitalist Healthcare Services PLLC Current Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

140 Saint Edwards St
Brooklyn, NY 11201
Phone (718) 858-6400

1915 Ocean Ave
Brooklyn, NY 11230
Phone (718) 258-7700

250 Beach 17th St
Far Rockaway, NY 11691
Phone (516) 670-0212

303 Merrick Rd
Ste 204
Lynbrook, NY 11563

420 E 76th St
New York, NY 10021
Phone (212) 434-5300

209 Beach 125th St
Rockaway Park, NY 11694
Phone (516) 721-7625

135 Vanderbilt Ave
Staten Island, NY 10304
Phone (718) 447-0101

2902 Upper Tibbits Ave
Troy, NY 12180
Phone (518) 273-2040

378 Syosset Woodbury Rd
Woodbury, NY 11797
Phone (516) 622-7784

8565 Jericho Tpke
Woodbury, NY 11797
Phone (516) 367-3400

Organizations & group practices 5

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": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439769600000",
    "number": "1366479735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 OLD COUNTRY RD",
            "address_2": "SUITE 271",
            "city": "CARLE PLACE",
            "state": "NY",
            "postal_code": "115141801",
            "telephone_number": "800-725-6280",
            "fax_number": "800-725-6380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "378 SYOSSET WOODBURY RD",
            "city": "WOODBURY",
            "state": "NY",
            "postal_code": "117971200",
            "telephone_number": "516-921-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN-ANDERSON",
        "first_name": "ANNEGRET",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-28",
        "last_updated": "2015-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "012850-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, NY

Sources for this page

Verify at the official NPI Registry.