Active NPI
Moses Preiser, PHD
- Clinical Psychologist
- Brooklyn, NY
National Provider Identifier
1619954195
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 005109-1
- Practice address
- 451 Clarkson Ave
Dept of Psychology G BLDG 6 FL RM 6302
Brooklyn, NY 11203-2057 - Phone
- (718) 951-7204
- NPI assigned
- Dec 27, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 005109-1 | NY | Primary |
Addresses
Primary practice location
451 Clarkson Ave
Dept of Psychology G BLDG 6 FL RM 6302
Brooklyn, NY 11203-2057
Mailing address
1052 E 29TH St
Brooklyn, NY 11210-3744
Phone (718) 951-7204
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: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Jul 1, 2016 through Jul 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005109-1 | NY | MD | Clinical Psychologist |
| 005109 | NY | MD | Nutrition Education Nutritionist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1619954195",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1052 E 29TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112103744",
"telephone_number": "718-951-7204",
"fax_number": "718-951-7204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "451 CLARKSON AVE",
"address_2": "DEPT OF PSYCHOLOGY G BLDG 6 FL RM 6302",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112032057",
"telephone_number": "718-951-7204"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PREISER",
"first_name": "MOSES",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-27",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "005109-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.