Karen Weiss Bander, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

005535 Issued in NY

Practice address

303 5TH Ave RM 1107
New York, NY 10016-6668

Phone

(212) 989-5480

NPI assigned

Nov 30, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1638230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638230400000",
    "number": "1710645510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 944",
            "city": "QUOGUE",
            "state": "NY",
            "postal_code": "119590944",
            "telephone_number": "914-649-2715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 5TH AVE RM 1107",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100166668",
            "telephone_number": "212-989-5480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANDER",
        "first_name": "KAREN",
        "middle_name": "WEISS",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-30",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "005535",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS LICENSE",
            "identifier": "005535",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kwbander3@icloud.com",
            "affiliation": "N",
            "address_1": "303 5th Ave Rm 1107",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100166668",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Shaineetha Bandari
• Sonal Avinash Bandekar, PT
• Michelle Bandel
• Erna Bander
• Jeffrey Bander, MD
• Lisa P Bander
• Neil Harrison Bander, M.D.
• Christopher James Bandera, M.D.
• Pedro Efrain Bandes Duran
• Bharathi Bandi

• 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 Nov 30, 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.

Verify at the official NPI Registry.