Active NPI
Jay Voss, PH.D.
- Clinical Psychologist
- Broadway, NY
National Provider Identifier
1659635936
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 015753-1
- Practice address
- 760 Broadway
Woodhull Medical and Mental Health Center
Broadway, NY 11206 - Phone
- (718) 963-8000
- Fax
- (718) 630-3122
- NPI assigned
- Jul 1, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 015753-1 | NY | Primary |
| Clinical Psychologist | 103TC0700X | 35S100393700 | NJ |
Addresses
Primary practice location
760 Broadway
Woodhull Medical and Mental Health Center
Broadway, NY 11206
Mailing address
760 Broadway Department of Managed Care Room 2B230
Woodhull Medical and Mental Health Center.
Brooklyn, NY 11206
Phone (718) 963-8000
Other names 1
- Dr. William Jay Voss
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20121107000519 | NY | Order and Referring Only - Clinical Psychologist | 9032360623 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35S100393700 | NJ | MD | Clinical Psychologist |
| 015753-1 | NY | MD | Clinical Psychologist |
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395964800000",
"number": "1659635936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "760 BROADWAY DEPARTMENT OF MANAGED CARE ROOM 2B230",
"address_2": "WOODHULL MEDICAL AND MENTAL HEALTH CENTER.",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11206",
"telephone_number": "718-963-8000",
"fax_number": "718-630-3122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "760 BROADWAY",
"address_2": "WOODHULL MEDICAL AND MENTAL HEALTH CENTER",
"city": "BROADWAY",
"state": "NY",
"postal_code": "11206",
"telephone_number": "718-963-8000",
"fax_number": "718-630-3122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VOSS",
"first_name": "JAY",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-07-01",
"last_updated": "2014-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "015753-1",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NJ",
"license": "35S100393700",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "WILLIAM",
"last_name": "VOSS",
"middle_name": "JAY",
"prefix": "DR.",
"credential": "PH.D.",
"code": "5",
"type": "Other Name"
}
]
}Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2014; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.