Individual provider Active NPI

Michael Dowling

  • Clinical Psychologist
  • New York, NY
National Provider Identifier
1619104882
Registry record updated Jun 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
018855 Issued in NY
Practice address
25 W 43Rd St Ste 714
New York, NY 10036-7414
Phone
(646) 379-0242
NPI assigned
Jun 16, 2009
Last updated
Jun 30, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 018855 NY Primary

Addresses

Primary practice location

25 W 43Rd St Ste 714
New York, NY 10036-7414

Mailing address

25 W 43Rd St Ste 714
New York, NY 10036-7414

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Iospa Psychiatry Consulting, P.C. CurrentSince Jul 7, 2024 Accepting new patients
Che Senior Psychological Services, PC Clinical PastSince Feb 2, 2020 Accepting new patients
Knapp Street Psychiatry, PC Clinical PastSince Feb 2, 2020 Accepting new patients
Montefiore Medical Center Past Accepting new patients

Locations

25 W 43rd St
Ste 714
New York, NY 10036
Phone (646) 379-0242

Organizations & group practices 4

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": "1245110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719705600000",
    "number": "1619104882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 W 43RD ST STE 714",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100367414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 W 43RD ST STE 714",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100367414",
            "telephone_number": "646-379-0242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOWLING",
        "first_name": "MICHAEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-16",
        "last_updated": "2024-06-30",
        "certification_date": "2024-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "018855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.