Individual provider Active NPI

Genna Faith Popovich Hymowitz, PH.D.

  • Clinical Psychologist
  • Stony Brook, NY
National Provider Identifier
1407294580
Registry record updated Nov 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
020105 Issued in NY
Practice address
469 Psychology BLDG B
Department of Psychology, Stony Brook University
Stony Brook, NY 11794-2520
Phone
(631) 632-4954
NPI assigned
Jun 11, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2015

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 020105 NY Primary

Addresses

Primary practice location

469 Psychology BLDG B
Department of Psychology, Stony Brook University
Stony Brook, NY 11794-2520

Mailing address

469 Psychology BLDG B
Department of Psychology, Stony Brook University
Stony Brook, NY 11794-2520
Phone (631) 632-4954

Other names 1

  • Dr. Genna Faith Hymowitz Professional name

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
I20151102001507 NY Practitioner - Clinical Psychologist 6608186713 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

169 Putnam Hall
South Campus
Stony Brook, NY 11794-8790
Phone (631) 632-8850

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Stony Brook Psychiatric Associates, University Faculty Practice Corpor CurrentSince Oct 14, 2015 Accepting new patients

Locations

37 Research Way
Setauket, NY 11733
Phone (631) 444-4121

169 Putnam Hall
Stony Brook, NY 11794
Phone (631) 632-8850

Networks

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

Interoperability endpoints

  • Direct secure messaging: genna.hymowitz@direct.stonybrookmedicine.edu

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1370908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447891200000",
    "number": "1407294580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "469 PSYCHOLOGY BLDG B",
            "address_2": "DEPARTMENT OF PSYCHOLOGY, STONY BROOK UNIVERSITY",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117942520",
            "telephone_number": "631-632-4954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "469 PSYCHOLOGY BLDG B",
            "address_2": "DEPARTMENT OF PSYCHOLOGY, STONY BROOK UNIVERSITY",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117942520",
            "telephone_number": "631-632-4954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POPOVICH HYMOWITZ",
        "first_name": "GENNA",
        "middle_name": "FAITH",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-11",
        "last_updated": "2015-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "020105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GENNA",
            "last_name": "HYMOWITZ",
            "middle_name": "FAITH",
            "prefix": "DR.",
            "credential": "PH.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Stony Brook, NY

Sources for this page

Verify at the official NPI Registry.