Active NPI
Joshua Rosenthal, PSYD
- Clinical Psychologist
- New York, NY
National Provider Identifier
1568624799
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 17930
- Practice address
- 11 East 86TH Street
1B
New York, NY 10028 - Phone
- (212) 993-6033
- NPI assigned
- Jun 29, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 073836 | NJ | |
| Clinical Psychologist | 103TC0700X | 17930 | NY | Primary |
Addresses
Primary practice location
11 East 86TH Street
1B
New York, NY 10028
Mailing address
200 Winston Dr
Apt 2311
Cliffside Park, NJ 07010-3235
Phone (203) 623-7529
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17930 | NY | MD | Clinical Psychologist |
| 073836 | NJ | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1229558400000",
"number": "1568624799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 WINSTON DR",
"address_2": "APT 2311",
"city": "CLIFFSIDE PARK",
"state": "NJ",
"postal_code": "070103235",
"telephone_number": "203-623-7529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 EAST 86TH STREET",
"address_2": "1B",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10028",
"telephone_number": "212-993-6033"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSENTHAL",
"first_name": "JOSHUA",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-06-29",
"last_updated": "2008-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NJ",
"license": "073836",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "17930",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.