Individual provider Active NPI

Katharina Anger, PH.D.

  • Clinical Psychologist
  • New York, NY
National Provider Identifier
1619909041
Registry record updated Aug 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
009489 Issued in NY
Practice address
170 W 81St St
Suite 1a
New York, NY 10024-5901
Phone
(212) 769-4721
NPI assigned
Jul 7, 2006
Last updated
Aug 26, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 4277 CT
Clinical Psychologist 103TC0700X 009489 NY Primary

Addresses

Primary practice location

170 W 81St St
Suite 1a
New York, NY 10024-5901

Mailing address

PO Box 886
Middlebury, CT 06762-0886
Phone (646) 543-3413

Other practice location 1

79 Sandy Beach Road
Middlebury, CT 06762
Phone (646) 543-3413

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
I20090824000470 NY Practitioner - Clinical Psychologist 0345394466 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Young Adult Institute IncGroup PAC ID 1153216353, 28 clinicians
Premier Healthcare IncGroup PAC ID 1254233158, 58 clinicians

Practice addresses (Care Compare)

3060 E Tremont Ave
Bronx, NY 10461-5726
Phone (718) 239-1790

460 W 34TH St
FL 9
New York, NY 10001-2382
Phone (212) 273-6100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4277CTMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Young Adult Institute, Inc. CurrentSince Jan 1, 1995 Accepting new patients
Premier Healthcare, Inc. CurrentSince Jan 1, 1999 Accepting new patients
Premier Healthcare, Inc. CurrentSince Jan 1, 1999 Accepting new patients

Locations

21111 Northern Blvd
Bayside, NY 11361
Phone (212) 563-7474

3060 E Tremont Ave
Bronx, NY 10461
Phone (718) 239-1790

3060 E Tremont Ave
#2
Bronx, NY 10461

175 Remsen St
Brooklyn, NY 11201
Phone (718) 303-1300

175 Remsen St
Fl 4
Brooklyn, NY 11201
Phone (212) 273-6182

21111 Northern Blvd
Fl 2
Flushing, NY 11361
Phone (718) 224-2094

220 E 42nd St
Fl 8
New York, NY 10017
Phone (212) 273-2761

227 E 41St St
New York, NY 10017

460 W 34th St
Fl 11
New York, NY 10001
Phone (212) 273-6515

460 W 34th St
Fl 9
New York, NY 10001
Phone (212) 273-6515

Networks

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

Interoperability endpoints

  • Direct secure messaging: katharina.anger.p1@direct.premierhealthcare.nextgenshare.com

Organizations & group practices 3

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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661472000000",
    "number": "1619909041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 886",
            "city": "MIDDLEBURY",
            "state": "CT",
            "postal_code": "067620886",
            "telephone_number": "646-543-3413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 W 81ST ST",
            "address_2": "SUITE 1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100245901",
            "telephone_number": "212-769-4721"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "79 Sandy Beach Road",
            "address_purpose": "LOCATION",
            "city": "Middlebury",
            "state": "CT",
            "postal_code": "06762",
            "country_code": "US",
            "telephone_number": "646-543-3413",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANGER",
        "first_name": "KATHARINA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2022-08-26",
        "certification_date": "2021-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CT",
            "license": "4277",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "009489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.