Active NPI
Dianne Ollech, CP
- Clinical Psychologist
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 012891-1
- Practice address
- 41 W 86TH St
Apt 17a
New York, NY 10024-3612 - Phone
- (212) 712-2257
- Fax
- (212) 712-2257
- NPI assigned
- Jun 21, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 012891-1 | NY | Primary |
Addresses
Primary practice location
41 W 86TH St
Apt 17a
New York, NY 10024-3612
Mailing address
41 W 86TH St
#17A
New York, NY 10024-3612
Phone (212) 712-2257
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01714887 | Medicaid | NY |
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
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
110 Yorkshire Dr
East Norwich, NY 11732-1244
Phone (516) 625-4446
144 Grove Ave
Cedarhurst, NY 11516-2324
Phone (516) 791-0111
2678 Kingsbridge Ter
Bronx, NY 10463-7471
Phone (718) 796-5800
3718 Henry Hudson Pkwy
Suite 3726
Bronx, NY 10463-1502
Phone (516) 625-4446
500 N Columbus Ave
Fleetwood, NY 10552-1335
Phone (516) 625-4446
65 Crisfield St
Yonkers, NY 10710-1205
Phone (516) 625-4446
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 012891-1 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychological Potentials PC | Current | Accepting new patients | |
| South Shore Psychological Services PLLC | Current | Accepting new patients | |
| Senior Citizens Care Group,LLP | Clinical | Current | Accepting new patients |
| Bernard L. Sorscher, PH.D., Psychology PLLC | Past | Accepting new patients |
Locations
3718 Henry Hudson Pkwy
#372
Bronx, NY 10463
2678 Kingsbridge Ter
Bronx, NY 10463
Phone (716) 796-5800
144 Grove Ave
Cedarhurst, NY 11516
Phone (516) 374-6664
134 Middle Neck Rd
Ste 224
Great Neck, NY 11021
5515 Little Neck Pkwy
Little Neck, NY 11362
Phone (516) 625-4448
141 E 55th St
Apt 2A
New York, NY 10022
Phone (212) 750-8512
121 Franklin Pl
Woodmere, NY 11598
Phone (516) 374-9300
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychologist
- Great Neck, NY
- NPI 1114296753
-
- Clinical Psychologist
- New York, NY
- NPI 1639259336
-
- Psychologist
- Cedarhurst, NY
- NPI 1770680472
-
- Psychologist
- East Norwich, NY
- NPI 1669270815
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464912000000",
"number": "1669418158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41 W 86TH ST",
"address_2": "#17A",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100243612",
"telephone_number": "212-712-2257",
"fax_number": "212-712-2257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41 W 86TH ST",
"address_2": "APT 17A",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100243612",
"telephone_number": "212-712-2257",
"fax_number": "212-712-2257"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLLECH",
"first_name": "DIANNE",
"name_prefix": "Dr.",
"credential": "CP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-21",
"last_updated": "2016-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "012891-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01714887",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2016; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.