Active NPI
Maryhan Abdelazim, PHD
- Psychologist
- New York, NY
National Provider Identifier
1497688998
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Practice address
- 30 Wall St FL 8
New York, NY 10005-2205 - Phone
- (347) 980-4112
- NPI assigned
- Jun 4, 2026
- Last updated
- Jun 12, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | NU | Primary | |
| Counseling Psychologist | 103TC1900X | NU |
Addresses
Primary practice location
30 Wall St FL 8
New York, NY 10005-2205
Mailing address
30 Wall St FL 8
New York, NY 10005-2205
Phone (347) 980-4112
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
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reach Potential LLC | Psychologist | Current | Accepting new patients |
Locations
418 Broadway
Ste 8587
Albany, NY 12207
Phone (347) 980-4112
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1780531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781222400000",
"number": "1497688998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 WALL ST FL 8",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100052205",
"telephone_number": "347-980-4112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 WALL ST FL 8",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100052205",
"telephone_number": "347-980-4112"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABDELAZIM",
"first_name": "MARYHAN",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-06-04",
"last_updated": "2026-06-12",
"certification_date": "2026-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "NU",
"license": null,
"primary": false
}
],
"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 Jun 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.