Organization Active NPI

Grey Matter Neuropsychology of New York, PLLC

  • Clinical Neuropsychologist
  • New York, NY
National Provider Identifier
1366897134
Registry record updated Apr 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
020276 Issued in NY
Legal business name
GREY MATTER NEUROPSYCHOLOGY OF NEW YORK, PLLC
Practice address
9 E 8TH St
Suite 348
New York, NY 10003-5901
Phone
(646) 543-4467
Fax
(646) 304-8186
NPI assigned
Apr 29, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2016

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

Authorized official

Name
Dr. Michael R Meager, PSY.D.NPI 1215363619
Title
Owner & Founding Director
Phone
(646) 543-4467

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical NeuropsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103G00000X 020276 NY Primary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X 020276 NY
Adult Development & Aging PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TA0700X 020276 NY
Cognitive & Behavioral PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TB0200X 020276 NY
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X 020276 NY
Clinical Child & Adolescent PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC2200X 020276 NY
Forensic PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TF0200X 020276 NY
Intellectual & Developmental Disabilities PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TM1800X 020276 NY

Addresses

Primary practice location

9 E 8TH St
Suite 348
New York, NY 10003-5901

Mailing address

9 E 8TH St
Suite 348
New York, NY 10003-5901
Phone (646) 543-4467

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160613002503 NY Part B Supplier - Clinic/Group Practice 2668763160 Receives reassigned benefits from 1 practitioner
Practice locations: New York, NY

National Provider Directory

National Provider Directory

Locations

303 5th Ave
Rm 1502
New York, NY 10016
Phone (646) 543-4467

9 E 8th St
Ste 348
New York, NY 10003
Phone (646) 543-4467

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1461888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461888000000",
    "number": "1366897134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 E 8TH ST",
            "address_2": "SUITE 348",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100035901",
            "telephone_number": "646-543-4467",
            "fax_number": "646-304-8186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 E 8TH ST",
            "address_2": "SUITE 348",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100035901",
            "telephone_number": "646-543-4467",
            "fax_number": "646-304-8186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREY MATTER NEUROPSYCHOLOGY OF NEW YORK, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-29",
        "last_updated": "2016-04-29",
        "status": "A",
        "authorized_official_last_name": "MEAGER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER & FOUNDING DIRECTOR",
        "authorized_official_telephone_number": "646-543-4467",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "NY",
            "license": "020276",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "NY",
            "license": "020276",
            "primary": false
        },
        {
            "code": "103TA0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Adult Development & Aging",
            "state": "NY",
            "license": "020276",
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "NY",
            "license": "020276",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "020276",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NY",
            "license": "020276",
            "primary": false
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Forensic",
            "state": "NY",
            "license": "020276",
            "primary": false
        },
        {
            "code": "103TM1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "NY",
            "license": "020276",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.