Active NPI
Caroline Mendel, PSYD
- Clinical Psychologist
- New York, NY
National Provider Identifier
1467976134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 022217
- Practice address
- Child Mind Institute
445 Park Ave FL 2
New York, NY 10022-8649 - Phone
- (646) 625-4321
- Fax
- (646) 625-4348
- NPI assigned
- Aug 3, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 022217 | NY | Primary |
Addresses
Primary practice location
Child Mind Institute
445 Park Ave FL 2
New York, NY 10022-8649
Mailing address
445 Park Ave FL 2
New York, NY 10022-8649
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
| License | State | Type | Specialty |
|---|---|---|---|
| 022217 | NY | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1501718400000",
"number": "1467976134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "445 PARK AVE FL 2",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100228649"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CHILD MIND INSTITUTE",
"address_2": "445 PARK AVE FL 2",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100228649",
"telephone_number": "646-625-4321",
"fax_number": "646-625-4348"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENDEL",
"first_name": "CAROLINE",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-03",
"last_updated": "2017-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "022217",
"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 Aug 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.