Grigory Orenbakh, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

014896 Issued in NY

Practice address

821 Newburg Ave
Valley Stream, NY 11581-3107

Phone

(917) 657-0290

NPI assigned

Sep 28, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Clinical Psychologist

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722

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.

• Dallet Psychological Services PC

  • Clinical Psychologist
  • Valley Stream, NY
  • NPI 1386331791
  Medicare reassignment NPD
• Restart Psychological Services PC

  • Adult Development & Aging Psychologist
  • Valley Stream, NY
  • NPI 1396378055
  NPD
• Brooklyn Care Medical PC

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1568668119
  NPD (past)
• Comprehensive Psychological Services of Ny PC

  • Clinical Psychologist
  • Valley Stream, NY
  • NPI 1841552569
  NPD (past)
• Doctors Row Medical, PC

  • Psychiatry Physician
  • Brooklyn, NY
  • NPI 1457360570
  NPD (past)
• New Horizon Medical P.C.

  • Adolescent and Children Mental Health Clinic/Center
  • Brooklyn, NY
  • NPI 1659324192
  NPD (past)

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681776000000",
    "number": "1366533754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 NEWBURG AVE",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115813107",
            "telephone_number": "917-657-0290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 NEWBURG AVE",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115813107",
            "telephone_number": "917-657-0290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORENBAKH",
        "first_name": "GRIGORY",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "014896",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02204608",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Valley Stream, NY
• Providers in Valley Stream, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.