Active NPI
Karen Aizaga, PH.D.
- Psychologist
- New York, NY
National Provider Identifier
1689120495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 023154
- Practice address
- 3959 Broadway
Department of Psychiatry (6TH Floor)
New York, NY 10032 - Phone
- (646) 877-3924
- NPI assigned
- Aug 31, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cognitive & Behavioral Psychologist | 103TB0200X | 023154 | NY | |
| Clinical Psychologist | 103TC0700X | 023154 | NY | |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 023154 | NY | |
| Family Psychologist | 103TF0000X | 023154 | NY | |
| Psychologist | 103T00000X | 023154 | NY | Primary |
Addresses
Primary practice location
3959 Broadway
Department of Psychiatry (6TH Floor)
New York, NY 10032
Mailing address
3959 Broadway
Department of Psychiatry (6TH Floor)
New York, NY 10032
Phone (646) 877-3924
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 023154 | Other | NY | NYSED PSYCHOLOGIST LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 023154 | NY | MD | Occupational Therapist |
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- 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": "1472601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640563200000",
"number": "1689120495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3959 BROADWAY",
"address_2": "DEPARTMENT OF PSYCHIATRY (6TH FLOOR)",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10032",
"telephone_number": "646-877-3924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3959 BROADWAY",
"address_2": "DEPARTMENT OF PSYCHIATRY (6TH FLOOR)",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10032",
"telephone_number": "646-877-3924"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AIZAGA",
"first_name": "KAREN",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-31",
"last_updated": "2021-12-27",
"certification_date": "2021-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "NY",
"license": "023154",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "023154",
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "NY",
"license": "023154",
"primary": false
},
{
"code": "103TF0000X",
"taxonomy_group": "",
"desc": "Psychologist, Family",
"state": "NY",
"license": "023154",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "023154",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NYSED PSYCHOLOGIST LICENSE",
"identifier": "023154",
"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 Dec 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.