Barry S Protter, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

004813-1 Issued in NY

Practice address

305 W 86TH St
Suite 3B
New York, NY 10024-3110

Phone

(212) 580-8769

Fax

(212) 580-8769

NPI assigned

May 23, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

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

Specialty

Clinical Psychologist

Education

Other, 1973

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Networks

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

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485993600000",
    "number": "1518177211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 W 86TH ST",
            "address_2": "SUITE 3B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100243110",
            "telephone_number": "212-580-8769",
            "fax_number": "212-580-8769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 W 86TH ST",
            "address_2": "SUITE 3B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100243110",
            "telephone_number": "212-580-8769",
            "fax_number": "212-580-8769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROTTER",
        "first_name": "BARRY",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2017-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "004813-1",
            "primary": true
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "NY",
            "license": "004813-1",
            "primary": false
        },
        {
            "code": "103TP0814X",
            "taxonomy_group": "",
            "desc": "Psychologist, Psychoanalysis",
            "state": "NY",
            "license": "004813-1",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01161499",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samantha Proto, MHC-LP
• Thomas Protopapas, DPT
• Xenia Protopopescu, M.D.
• Themistocles Protopsaltis, M.D.
• Gary Michael Prottas, L.P.
• Margot Protzel, MSW
• Proud Moments ABA of Florida PLLC
• Proud Moments ABA of Georgia LLC
• Proud Moments ABA of New Jersey LLC
• Proud Moments ABA Services LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.