David A. Guggenheim, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

018840 Issued in NY

Practice address

230 W 17TH St
New York, NY 10011

Phone

(212) 271-7200

Fax

(212) 937-4893

NPI assigned

Nov 24, 2010

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Clinical Psychologist

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

MCCD Psychiatry Services PLLCGroup PAC ID 4082049036, 206 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• MCCD Psychiatry Services PLLC

  • Psychiatry Physician
  • New York, NY
  • NPI 1033750823
  Medicare reassignment Care Compare group NPD
• Community Health Project Inc.

  • Federally Qualified Health Center (FQHC)
  • New York, NY
  • NPI 1306898432
  NPD (past)

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

{
    "created_epoch": "1290556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534809600000",
    "number": "1700188752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "356 W 18TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100114401",
            "telephone_number": "212-271-7200",
            "fax_number": "212-937-4893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 W 17TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10011",
            "telephone_number": "212-271-7200",
            "fax_number": "212-937-4893"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "635 Main St",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "CT",
            "postal_code": "064572718",
            "country_code": "US",
            "telephone_number": "860-347-6971",
            "fax_number": "860-704-8034",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "208 W 13th St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100117702",
            "country_code": "US",
            "telephone_number": "212-271-7200",
            "fax_number": "212-937-4893",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3144 3rd Ave",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104514629",
            "country_code": "US",
            "telephone_number": "212-271-7200",
            "fax_number": "212-937-4893",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "356 W 18th St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100114401",
            "country_code": "US",
            "telephone_number": "212-271-7200",
            "fax_number": "212-937-4893",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUGGENHEIM",
        "first_name": "DAVID",
        "middle_name": "A.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-11-24",
        "last_updated": "2018-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "018840",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05043370",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aliou Gueye, PA
• Rodora Gueye
• Gajaanan Gugendiran
• Paige Gugerty, AGPCNP
• Dana Guggenheim
• Marcello Guglielmi, D.D.S.
• Anthony Micheal Guglielmo, NP-C
• Robert Joseph Guglielmo
• Brianna Rose Gugliotta
• Brian Eric Gugliuzza, MS PT

• Clinical Psychologist in New York, NY
• Providers in New York, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2018; 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.

Verify at the official NPI Registry.