Michael Charles Kirshner, PH.D.
Individual provider Active NPI Clinical Psychologist · Montebello, NY
NPI 1437211182 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1437211182
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 008957 (NY)
- Practice address
- 3 Victory Rd
Montebello, NY 10901-3717 - Phone
- (845) 369-3904
- Fax
- (845) 369-3904
- NPI assigned
- Dec 15, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare Care Compare profile
- Specialty
- Clinical Psychologist
- Education
- Other, 1975
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3 Victory Rd
Montebello, NY 10901-3717
Phone (914) 523-1876
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080925000652 | NY | Practitioner - Clinical Psychologist | 6204903628 | Practice locations: Montebello, NY |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008957 | NY | MD | Optician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 008957 | NY | Yes |
Addresses
Primary practice location
3 Victory Rd
Montebello, NY 10901-3717
Mailing address
3 Victory Rd
Montebello, NY 10901-3717
Phone (845) 369-3904
Other providers in Montebello, NY
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- Language Links
- Eloisa Lara
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All providers in Montebello, NY · Clinical Psychologist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.