Individual provider Active NPI

Eva G Mihovich, PH.D.

  • Clinical Psychologist
  • Brooklyn, NY
National Provider Identifier
1447328448
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
007053-1 Issued in NY
Practice address
502 9TH St
Brooklyn, NY 11215-4103
Phone
(718) 768-9192
Fax
(718) 768-9192
NPI assigned
Nov 30, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 007053-1 NY Primary

Addresses

Primary practice location

502 9TH St
Brooklyn, NY 11215-4103

Mailing address

502 9TH St
Brooklyn, NY 11215-4103
Phone (718) 768-9192

Other identifiers 1

IdentifierTypeStateIssuer
00953324MedicaidNY

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
I20110509000213 NY Practitioner - Clinical Psychologist 0042496036 Reassigns benefits to 1 organization
Practice locations: Brooklyn, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dr. Iospa Psychiatry Consulting, P.C.Group PAC ID 3971679697, 14 clinicians

Practice addresses (Care Compare)

28 W 44TH St
Suite 714
New York, NY 10036-7406
Phone (646) 383-7575

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
007053-1NYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Iospa Psychiatry Consulting, P.C. CurrentSince Oct 21, 2021 Accepting new patients

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": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447328448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 9TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112154103",
            "telephone_number": "718-768-9192",
            "fax_number": "718-768-9192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 9TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112154103",
            "telephone_number": "718-768-9192",
            "fax_number": "718-768-9192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIHOVICH",
        "first_name": "EVA",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "007053-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00953324",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.