Individual provider Active NPI

Richard Mayer, M.D.

  • Child & Adolescent Psychiatry Physician
  • New York, NY
National Provider Identifier
1508917444
Registry record updated Aug 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
183636 Issued in NY
Practice address
460 W 34TH St
11TH Floor
New York, NY 10001-2320
Phone
(212) 273-6519
NPI assigned
Jan 16, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 183636 NY Primary
Psychiatry Physician 2084P0800X 183636 NY

Addresses

Primary practice location

460 W 34TH St
11TH Floor
New York, NY 10001-2320

Mailing address

124 Grayson PL
Teaneck, NJ 07666-4712

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: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100629000003 NY Practitioner - Psychiatry 8224169677 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Albert Einstein College of Medicine of Yeshiva University, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hamaspik of Kings County, Inc.Group PAC ID 8628472768, 18 clinicians

Practice addresses (Care Compare)

4102 13TH Ave
Brooklyn, NY 11219-1389
Phone 7184008899106

4102 14TH Ave
Brooklyn, NY 11219-1401
Phone (718) 387-8400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Hamaspik of Kings County Current Accepting new patients
Premier Healthcare, Inc. CurrentSince Jun 1, 2015 Accepting new patients
Premier Healthcare, Inc. CurrentSince Jun 1, 2015 Accepting new patients
Hasc Diagnostic & Treatment Center, Inc CurrentSince Mar 1, 2015 Accepting new patients
Hasc Diagnostic &Treatment Center, Inc CurrentSince Mar 1, 2015 Accepting new patients
Hamaspik of Kings County, Inc. CurrentSince Nov 29, 2022 Accepting new patients
Welllife Network Inc. Past Accepting new patients

Locations

21111 Northern Blvd
Bayside, NY 11361
Phone (212) 563-7474

3060 E Tremont Ave
Bronx, NY 10461
Phone (718) 239-1790

175 Remsen St
Brooklyn, NY 11201
Phone (718) 303-1300

1221 E 14th St
Brooklyn, NY 11230
Phone (718) 434-4600

4102 14th Ave
Fl 2
Brooklyn, NY 11219
Phone (718) 387-8400

5601 1st Ave
Brooklyn, NY 11220
Phone (718) 650-0110

460 W 34th St
Fl 11
New York, NY 10001
Phone (212) 273-6515

460 W 34th St
Fl 9
New York, NY 10001
Phone (212) 273-6515

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678

Organizations & group practices 7

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": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470873600000",
    "number": "1508917444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 GRAYSON PL",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076664712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 W 34TH ST",
            "address_2": "11TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100012320",
            "telephone_number": "212-273-6519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYER",
        "first_name": "RICHARD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-16",
        "last_updated": "2016-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NY",
            "license": "183636",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "183636",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.