Camilla E Mager, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

018247-1 Issued in NY

Practice address

16 E 79TH St Ste 24
New York, NY 10075-0150

Phone

(212) 696-6498

NPI assigned

Aug 26, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 11, 2022 through Jan 11, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Camilla E. Mager, Psy.D. P.C.

  • Psychologist
  • New York, NY
  • NPI 1841798758
  NPD Authorized official
• Intrinpsych Woman Psychological Services PLLC

  • Clinical Psychologist
  • New York, NY
  • NPI 1982038113
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1251244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661299200000",
    "number": "1487887386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 E 79TH ST STE 24",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100750150",
            "telephone_number": "212-696-6498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 E 79TH ST STE 24",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100750150",
            "telephone_number": "212-696-6498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGER",
        "first_name": "CAMILLA",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-26",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "018247-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Magee, LMSW
• Magenta Anesthesia Services PC
• Magenta Capital LLC
• Magenta Therapy LCSW PLLC
• Mager & Gougelman Inc
• Christine Anne Mager, PT MS OCS
• Keara Mageras, PSY.D.
• Matthew Magerle, PT, DPT
• Michael Jason Maggard, PTA
• Rajiv Magge, M.D.

• Psychologist in New York, NY
• Providers in New York, NY by specialty
• Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.