Individual provider Active NPI

Ian Hollender, PH.D.

  • School Psychologist
  • Brooklyn, NY
National Provider Identifier
1376951277
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
019891 Issued in NY
Practice address
1155 Ocean Ave Apt 5C
Brooklyn, NY 11230-2049
Phone
(646) 941-8499
NPI assigned
Jul 24, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X 019891 NY Primary

Addresses

Primary practice location

1155 Ocean Ave Apt 5C
Brooklyn, NY 11230-2049

Mailing address

1155 Ocean Ave Apt 5C
Brooklyn, NY 11230-2049
Phone (646) 941-8499

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
I20240825000088 NY Practitioner - Clinical Psychologist 6709325517 Practice locations: Brooklyn, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1155 Ocean Ave
Apt 5C
Brooklyn, NY 11230-2049
Phone (646) 941-8499

1155 Ocean Ave Apt
5C
Brooklyn, NY 11230-2049

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1406160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1376951277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 OCEAN AVE APT 5C",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112302049",
            "telephone_number": "646-941-8499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 OCEAN AVE APT 5C",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112302049",
            "telephone_number": "646-941-8499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLENDER",
        "first_name": "IAN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-24",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "NY",
            "license": "019891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.