Individual provider Active NPI

Karen Somary, PH.D.

  • Clinical Psychologist
  • Bronx, NY
National Provider Identifier
1376559948
Registry record updated Aug 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
13603 Issued in NY
Practice address
3600 Fieldston Rd Apt 3D
Bronx, NY 10463-2008
Phone
(718) 432-2354
NPI assigned
Aug 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2008

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 13603 NY Primary

Addresses

Primary practice location

3600 Fieldston Rd Apt 3D
Bronx, NY 10463-2008

Mailing address

3600 Fieldston Rd Apt 3D
Bronx, NY 10463-2008
Phone (718) 432-2354

Other identifiers 1

IdentifierTypeStateIssuer
01879863MedicaidNY

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
I20050720000378 NY Practitioner - Clinical Psychologist 0840227005 Practice locations: Bronx, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3600 Fieldston Rd
Apt 2G
Bronx, NY 10463-2007
Phone (718) 432-2354

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13603NYMDClinical Psychologist
013603NYMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218758400000",
    "number": "1376559948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 FIELDSTON RD APT 3D",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104632008",
            "telephone_number": "718-432-2354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 FIELDSTON RD APT 3D",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104632008",
            "telephone_number": "718-432-2354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOMARY",
        "first_name": "KAREN",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2008-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "13603",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01879863",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.