Individual provider Active NPI

Uriel Krakauer, PSYD

  • Clinical Psychologist
  • Mount Vernon, NY
National Provider Identifier
1508584996
Registry record updated Mar 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
025141 Issued in NY
Practice address
11 W Prospect Ave Ste 3D
Mount Vernon, NY 10550-2017
Phone
(914) 573-4786
NPI assigned
Aug 22, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 025141 NY Primary

Addresses

Primary practice location

11 W Prospect Ave Ste 3D
Mount Vernon, NY 10550-2017

Mailing address

11 W Prospect Ave Ste 3D
Mount Vernon, NY 10550-2017
Phone (914) 573-4786

Other practice location 1

1551 E 32nd St
Brooklyn, NY 11234-3403
Phone (914) 573-4786

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
I20230828002298 NY Practitioner - Clinical Psychologist 2264895002 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Uriel Krakauer Psychology PLLCGroup PAC ID 0749643591, 2 clinicians

Practice addresses (Care Compare)

11 W Prospect Ave
Suite 3D
Mount Vernon, NY 10550-2017
Phone (914) 407-3426

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
025141NYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Uriel Krakauer Psychology PLLC CurrentSince Dec 2, 2022 Accepting new patients

Locations

11 W Prospect Ave
Ste 3D
Mount Vernon, NY 10550
Phone (914) 338-8734

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": "1661126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680220800000",
    "number": "1508584996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 W PROSPECT AVE STE 3D",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105502017",
            "telephone_number": "914-573-4786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 W PROSPECT AVE STE 3D",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105502017",
            "telephone_number": "914-573-4786"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1551 E 32nd St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112343403",
            "country_code": "US",
            "telephone_number": "914-573-4786",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRAKAUER",
        "first_name": "URIEL",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-22",
        "last_updated": "2023-03-31",
        "certification_date": "2022-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "025141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, NY

Sources for this page

Verify at the official NPI Registry.