Individual provider Active NPI

Ursula S Ofman, PSY.D.

  • Psychologist
  • New York, NY
National Provider Identifier
1427221282
Registry record updated Apr 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
10855 Issued in NY
Practice address
276 5TH Ave
Suite 507a
New York, NY 10001-4509
Phone
(212) 689-7185
NPI assigned
Apr 11, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 10855 NY Primary
Clinical Psychologist 103TC0700X 10855 NY

Addresses

Primary practice location

276 5TH Ave
Suite 507a
New York, NY 10001-4509

Mailing address

276 5TH Ave
Suite 507a
New York, NY 10001-4509

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Oct 1, 2015 through Oct 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10855NYMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1207872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207872000000",
    "number": "1427221282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "276 5TH AVE",
            "address_2": "SUITE 507A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100014509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "276 5TH AVE",
            "address_2": "SUITE 507A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100014509",
            "telephone_number": "212-689-7185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OFMAN",
        "first_name": "URSULA",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-11",
        "last_updated": "2008-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "10855",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "10855",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.