Jason Staal, PSY.D.

Primary specialty

Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X

License

0134371 Issued in NY

Practice address

281 1St Ave E 16TH St Beth Israel Medical Center
Ny, NY 10003

Phone

(212) 420-2834

Fax

(212) 844-7659

NPI assigned

Feb 14, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Icahn School of Medicine at Mount SinaiGroup PAC ID 2264691070, 2,809 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Icahn School of Medicine at Mount Sinai

  dba Psychiatry Department of Mount Sinai

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • New York, NY
  • NPI 1033482518
  Medicare reassignment Care Compare group NPD
• Icahn School of Medicine at Mount Sinai

  dba New York Eye & Ear Optical Shop

  • Eyewear Supplier
  • New York, NY
  • NPI 1760227466
  NPD

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1578606166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BETH ISRAEL MEDICAL CENTER, 1ST AVE AT 16TH ST",
            "city": "NY",
            "state": "NY",
            "postal_code": "10003",
            "telephone_number": "212-420-2834",
            "fax_number": "212-844-7659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "281 1ST AVE E 16TH ST BETH ISRAEL MEDICAL CENTER",
            "city": "NY",
            "state": "NY",
            "postal_code": "10003",
            "telephone_number": "212-420-2834",
            "fax_number": "212-844-7659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAAL",
        "first_name": "JASON",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "NY",
            "license": "0134371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brenda Sinsheimer, MD
• Paula H Sobel, LCSW CLINICAL SOCIAL
• Latoya Angelina Solomon-Ramoon
• Julie A Sonsini, PT
• Frank Angelo Spinelli, MD
• Melanie Starcic, PA-C
• Daniel Evan Stein, MD
• Marian Lisa Stern, PHD, CGP, ABPP GROUP
• Marguerite Stratton, MSW
• Elizabeth J. Stubenbord, LCSW

• Cognitive & Behavioral Psychologist in Ny, NY
• Providers in Ny, NY by specialty
• Cognitive & Behavioral Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.