Individual provider Active NPI

Michael Appelgren, PSY.D.

  • Psychologist
  • New York, NY
National Provider Identifier
1457926420
Registry record updated Mar 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
024319 Issued in NY
Practice address
35 Hamilton PL Apt 710
New York, NY 10031-6874
Phone
(862) 216-5010
NPI assigned
May 23, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 6514 NJ
Psychologist 103T00000X 019471 PA
Psychologist 103T00000X 024319 NY Primary

Addresses

Primary practice location

35 Hamilton PL Apt 710
New York, NY 10031-6874

Mailing address

35 Hamilton PL Apt 710
New York, NY 10031-6874
Phone (862) 216-5010

Other practice location 1

424 16th St Apt 9
Union City, NJ 07087-4372
Phone (862) 216-5010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6514NJMDPsychologist
019471PAMDPsychologist
024319NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dynamic Learning Services LLC Psychologist CurrentSince Jun 1, 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": "1621728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646611200000",
    "number": "1457926420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 HAMILTON PL APT 710",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100316874",
            "telephone_number": "862-216-5010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 HAMILTON PL APT 710",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100316874",
            "telephone_number": "862-216-5010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "424 16th St Apt 9",
            "address_purpose": "LOCATION",
            "city": "Union City",
            "state": "NJ",
            "postal_code": "070874372",
            "country_code": "US",
            "telephone_number": "862-216-5010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "APPELGREN",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-23",
        "last_updated": "2022-03-07",
        "certification_date": "2022-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "6514",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "019471",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "024319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.