Individual provider Active NPI

Joel Verstaendig, PHD

  • Psychologist
  • Plainview, NY
National Provider Identifier
1366509911
Registry record updated Jul 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
8484 Issued in NY
Practice address
8 Arthur PL
Plainview, NY 11803-2904
Phone
(516) 933-6196
NPI assigned
Jan 2, 2007
Last updated
Jul 16, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 8484 NY Primary

Addresses

Primary practice location

8 Arthur PL
Plainview, NY 11803-2904

Mailing address

8 Arthur PL
Plainview, NY 11803-2904
Phone (516) 933-6196

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
I20140711000601 NY Practitioner - Clinical Psychologist 6406071299 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aging Matters Psychological Services PCGroup PAC ID 5092756585, 3 clinicians

Practice addresses (Care Compare)

8 Cedarlawn Rd
Irvington, NY 10533-1903
Phone (914) 681-9435

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8484NYMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Aging Matters Psychological Services, PC Psychologist CurrentSince May 19, 2014 Accepting new patients

Locations

34 S Broadway
Ste 600
White Plains, NY 10601
Phone (914) 328-9877

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184544000000",
    "number": "1366509911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 ARTHUR PL",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118032904",
            "telephone_number": "516-933-6196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 ARTHUR PL",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118032904",
            "telephone_number": "516-933-6196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERSTAENDIG",
        "first_name": "JOEL",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2007-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "8484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainview, NY

Sources for this page

Verify at the official NPI Registry.