Individual provider Active NPI

Dianne Ollech, CP

  • Clinical Psychologist
  • New York, NY
National Provider Identifier
1669418158
Registry record updated Jun 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
012891-1 Issued in NY
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

Updated by the provider on Jun 3, 2016

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 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

IdentifierTypeStateIssuer
01714887MedicaidNY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040511000216 NY Practitioner - Clinical Psychologist 1951390335 Reassigns benefits to 3 organizations
Practice locations: Bronx, NY; New York, NY; Woodmere, NY

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
Psychological Potentials PCGroup PAC ID 4486812534, 2 clinicians
South Shore Psychological Services PLLCGroup PAC ID 2365331824, 2 clinicians
Senior Citizens Care Group LLPGroup PAC ID 1557252350, 3 clinicians

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

LicenseStateTypeSpecialty
012891-1NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Psychological Potentials PC CurrentSince Jan 1, 2016 Accepting new patients
South Shore Psychological Services PLLC CurrentSince Jul 16, 2015 Accepting new patients
Senior Citizens Care Group,LLP Clinical CurrentSince Aug 21, 1995 Accepting new patients
Bernard L. Sorscher, PH.D., Psychology PLLC PastSince Mar 11, 2025 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.

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

Verify at the official NPI Registry.