Individual provider Active NPI

Emilian Mihaila, PH.D.

  • Clinical Psychologist
  • Jamaica, NY
National Provider Identifier
1609846187
Registry record updated Jul 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
016624 Issued in NY
Practice address
166-10 Archer Avenue
Suite A21
Jamaica, NY 11432-1140
Phone
(718) 883-6562
Fax
(718) 883-6503
NPI assigned
Jan 25, 2006
Last updated
Jul 31, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2008

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 016624 NY
Psychologist 103T00000X 016624 NY
Adult Development & Aging Psychologist 103TA0700X 016624 NY
Cognitive & Behavioral Psychologist 103TB0200X 016624 NY
Clinical Psychologist 103TC0700X 016624 NY Primary

Addresses

Primary practice location

166-10 Archer Avenue
Suite A21
Jamaica, NY 11432-1140

Mailing address

16610 Archer Ave
Jamaica, NY 11433-1146
Phone (718) 883-6562

Other identifiers 1

IdentifierTypeStateIssuer
2717944MedicaidNY

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060814000180 NY Practitioner - Clinical Psychologist 6800899840 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
016624NYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
New York City Health and Hospitals Corporation CurrentSince Sep 4, 2025 Accepting new patients
New York City Health and Hospitals Corporation CurrentSince Sep 4, 2025 Accepting new patients
New York City Health and Hospitals Corporation Current Accepting new patients
The Brain Specialists, LLC Past Accepting new patients

Locations

2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354

2601 Ocean Pkwy
Rm 3N17
Brooklyn, NY 11235
Phone (718) 616-4554

594 Albany Ave
Brooklyn, NY 11203
Phone (646) 694-6680

8268 164th St
Jamaica, NY 11432
Phone (718) 883-2929

50 Water St
Fl 3
New York, NY 10004

Networks

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

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217462400000",
    "number": "1609846187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16610 ARCHER AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114331146",
            "telephone_number": "718-883-6562",
            "fax_number": "718-883-6503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166-10 ARCHER AVENUE",
            "address_2": "SUITE A21",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114321140",
            "telephone_number": "718-883-6562",
            "fax_number": "718-883-6503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIHAILA",
        "first_name": "EMILIAN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2008-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NY",
            "license": "016624",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "016624",
            "primary": false
        },
        {
            "code": "103TA0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Adult Development & Aging",
            "state": "NY",
            "license": "016624",
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "NY",
            "license": "016624",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "016624",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2717944",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

Verify at the official NPI Registry.