Individual provider Active NPI

Patricia June Walsh-Bigler, PSY.D.

  • Psychologist
  • New York, NY
National Provider Identifier
1497812473
Registry record updated Jan 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
014795 Issued in NY
Practice address
305 2ND Ave Ste 104
New York, NY 10003
Phone
(917) 673-2652
NPI assigned
Jan 2, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent Psychologist 103TC2200X 014795 NY
Psychologist 103T00000X 014795 NY Primary

Addresses

Primary practice location

305 2ND Ave Ste 104
New York, NY 10003

Mailing address

277 Avenue C Apt 3C
New York, NY 10009-2538
Phone (917) 673-2652

Other practice location 1

745 64th St
Brooklyn, NY 11220-4753
Phone (718) 283-1942

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
I20171003005719 NY Practitioner - Clinical Psychologist 4183999097 Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
New York University School of Medicine, 1994
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

277 Ave C
Apt 3C
New York, NY 10009-2538

305 2ND Ave
Suite 104
New York, NY 10003-2739
Phone (917) 673-2652

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
014795NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
MMC OB-GYN Faculty Practice Plan Past Accepting new patients
Anesthesiology Associates of Boro Park, LLP Past Accepting new patients

Organizations & group practices 2

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": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548374400000",
    "number": "1497812473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "277 AVENUE C APT 3C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100092538",
            "telephone_number": "917-673-2652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 2ND AVE STE 104",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10003",
            "telephone_number": "917-673-2652"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "745 64th St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112204753",
            "country_code": "US",
            "telephone_number": "718-283-1942",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALSH-BIGLER",
        "first_name": "PATRICIA",
        "middle_name": "JUNE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-02",
        "last_updated": "2019-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NY",
            "license": "014795",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "014795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.