Active NPI
Eric M Mendelsohn, PH.D.
- Psychologist
- Larchmont, NY
National Provider Identifier
1629246863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 006366
- Practice address
- 58 Moran PL
Larchmont, NY 10538-3413 - Phone
- (914) 636-5023
- Fax
- (914) 636-6021
- NPI assigned
- Feb 11, 2008
- Last updated
- Feb 11, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 006366 | NY | Primary |
Addresses
Primary practice location
58 Moran PL
Larchmont, NY 10538-3413
Mailing address
58 Moran PL
Larchmont, NY 10538-3413
Phone (914) 636-5023
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, 2015 through Jul 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006366 | NY | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202688000000",
"number": "1629246863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "58 MORAN PL",
"city": "LARCHMONT",
"state": "NY",
"postal_code": "105383413",
"telephone_number": "914-636-5023",
"fax_number": "914-636-6021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "58 MORAN PL",
"city": "LARCHMONT",
"state": "NY",
"postal_code": "105383413",
"telephone_number": "914-636-5023",
"fax_number": "914-636-6021"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENDELSOHN",
"first_name": "ERIC",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-02-11",
"last_updated": "2008-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "006366",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Larchmont, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2008; 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.