Organization Active NPI

Patricia R Griffin PHD

  • Psychologist
  • Goshen, NY
National Provider Identifier
1700397148
Registry record updated Apr 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
PATRICIA R GRIFFIN PHD
Practice address
11 Webster Ave
Goshen, NY 10924-1545
Phone
(855) 330-7070
Fax
(845) 231-6078
NPI assigned
Oct 12, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2023

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

Authorized official

Name
Ms. Carolyn Reidy
Title
Office Manager
Phone
(845) 590-3230

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

11 Webster Ave
Goshen, NY 10924-1545

Mailing address

2122 Route 6
Middletown, NY 10940-6156
Phone (855) 330-7070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171108002730 NY Part B Supplier - Clinic/Group Practice 6709142664 Receives reassigned benefits from 1 practitioner
Practice locations: Goshen, NY

National Provider Directory

National Provider Directory

Locations

19 Hill St
Goshen, NY 10924
Phone (845) 294-5856

11 Webster Ave
Goshen, NY 10924
Phone (845) 590-3230

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1507766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682640000000",
    "number": "1700397148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2122 ROUTE 6",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109406156",
            "telephone_number": "855-330-7070",
            "fax_number": "845-231-6078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 WEBSTER AVE",
            "city": "GOSHEN",
            "state": "NY",
            "postal_code": "109241545",
            "telephone_number": "855-330-7070",
            "fax_number": "845-231-6078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICIA R GRIFFIN PHD",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-12",
        "last_updated": "2023-04-28",
        "certification_date": "2023-04-28",
        "status": "A",
        "authorized_official_last_name": "REIDY",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "845-590-3230",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goshen, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.