Individual provider Active NPI

Benjamin Winn Mueller, PSY.D.

  • Clinical Psychologist
  • Albany, NY
National Provider Identifier
1437439593
Registry record updated Aug 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
019237 Issued in NY
Practice address
25 Hackett Blvd
Department of Psychiatry, 2ND Floor
Albany, NY 12208-3462
Phone
(518) 262-5511
Fax
(518) 262-6111
NPI assigned
Aug 22, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2011

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 019237 NY Primary

Addresses

Primary practice location

25 Hackett Blvd
Department of Psychiatry, 2ND Floor
Albany, NY 12208-3462

Mailing address

25 Hackett Blvd
Department of Psychiatry, 2ND Floor
Albany, NY 12208-3462
Phone (518) 262-5511

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
I20111017000519 NY Practitioner - Clinical Psychologist 2860664810 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Albany Medical CollegeGroup PAC ID 1759293111, 1,054 clinicians

Practice addresses (Care Compare)

25 Hackett Blvd
Albany, NY 12208-3462
Phone (518) 264-0900

Merit-based Incentive Payment System (MIPS)

Final score
87.78 of 100Reported as group
Quality
77.53
Promoting interoperability
100
Improvement activities
40
Cost
76.35

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Albany Medical College CurrentSince Sep 8, 2011 Accepting new patients
Albany Medical College CurrentSince Sep 8, 2011 Accepting new patients
Albany Medical College CurrentSince Jun 1, 2019 Accepting new patients
Albany Medical College Past Accepting new patients

Locations

25 Hackett Blvd
Albany, NY 12208
Phone (518) 262-1200

47 New Scotland Ave
Albany, NY 12208
Phone (518) 262-3773

25 Hackett Blvd
Ste 2
Albany, NY 12208
Phone (518) 262-5511

Organizations & group practices 4

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": "1313971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314230400000",
    "number": "1437439593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 HACKETT BLVD",
            "address_2": "DEPARTMENT OF PSYCHIATRY, 2ND FLOOR",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122083462",
            "telephone_number": "518-262-5511",
            "fax_number": "518-262-6111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 HACKETT BLVD",
            "address_2": "DEPARTMENT OF PSYCHIATRY, 2ND FLOOR",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122083462",
            "telephone_number": "518-262-5511",
            "fax_number": "518-262-6111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUELLER",
        "first_name": "BENJAMIN",
        "middle_name": "WINN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-22",
        "last_updated": "2011-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "019237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.