Amy C. Mednick, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

259537 Issued in NY

Practice address

171 Madison Ave RM 1001
New York, NY 10016

Phone

(347) 480-8608

NPI assigned

Jun 12, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Dec 5, 2023 through Dec 5, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1244764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559520000000",
    "number": "1548497902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 MADISON AVE RM 1001",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100165121",
            "telephone_number": "347-480-8608",
            "fax_number": "866-267-3419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 MADISON AVE RM 1001",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10016",
            "telephone_number": "347-480-8608"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "171 Madison Ave Rm 1001",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "10016",
            "country_code": "US",
            "telephone_number": "347-480-8608",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "301 E 21st St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100106505",
            "country_code": "US",
            "telephone_number": "347-480-8608",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "171 Madison Ave Rm 1001",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100165121",
            "country_code": "US",
            "telephone_number": "347-480-8608",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEDNICK",
        "first_name": "AMY",
        "middle_name": "C.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-12",
        "last_updated": "2019-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "259537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Meditz
• Ben Medley
• Andrew Blake Medlin, PT
• Barbara Medlin, NP
• Schileen Judith Helen Medlock
• Aron Joshua Mednick, M.D.
• Darlene M Mednick, R.PH. PHD
• Iosif Mednik
• Dorothy Medoff
• Christella Medozile

• Psychiatry Physician in New York, NY
• Providers in New York, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.