Individual provider Active NPI

Joan Diane Hoffenberg, PH.D.

  • Clinical Psychologist
  • Brooklyn, NY
National Provider Identifier
1629306402
Registry record updated Dec 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
009881 Issued in NY
Practice address
49 Wellington CT
Brooklyn, NY 11230-2434
Phone
(718) 434-3356
Fax
(718) 859-4441
NPI assigned
Dec 7, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2013

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 009881 NY Primary

Addresses

Primary practice location

49 Wellington CT
Brooklyn, NY 11230-2434

Mailing address

49 Wellington CT
Brooklyn, NY 11230-2434
Phone (718) 434-3356

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

NPI Registry JSON

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

{
    "created_epoch": "1260144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386547200000",
    "number": "1629306402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 WELLINGTON CT",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112302434",
            "telephone_number": "718-434-3356",
            "fax_number": "718-859-4441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 WELLINGTON CT",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112302434",
            "telephone_number": "718-434-3356",
            "fax_number": "718-859-4441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFFENBERG",
        "first_name": "JOAN",
        "middle_name": "DIANE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-07",
        "last_updated": "2013-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "009881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.