Active NPI
Robert Dobrenski, PHD
- Clinical Psychologist
- New York, NY
National Provider Identifier
1710902895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 015170
- Practice address
- 105 E 38TH St
#6B
New York, NY 10016-2637 - Phone
- (914) 912-1780
- NPI assigned
- Jul 12, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 015170 | NY | Primary |
Addresses
Primary practice location
105 E 38TH St
#6B
New York, NY 10016-2637
Mailing address
105 E 38TH St
#6B
New York, NY 10016-2637
Phone (914) 912-1780
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02300558 | Medicaid | NY |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2001
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1110 S Ave
Suite 404
Staten Island, NY 10314-3411
71 Park Ave
Suite 1D
New York, NY 10016-2507
Phone (914) 912-1780
Merit-based Incentive Payment System (MIPS)
- Final score
- 13.45 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 44.83
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrity Psychological Services, PLLC | Clinical | Current | Accepting new patients |
| Rockland Psychological Services PLLC | Current | Accepting new patients | |
| The New York and Presbyterian Hospital | Past | Accepting new patients |
Locations
978 Route 45
Ste 104
Pomona, NY 10970
Phone (347) 897-5150
1110 South Ave
Ste 404
Staten Island, NY 10314
Phone (718) 494-2858
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
Interoperability endpoints
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
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.
-
- Clinical Psychologist
- Staten Island, NY
- NPI 1750154829
-
- Psychologist
- Pomona, NY
- NPI 1275379737
-
- Mental Health Counselor
- Staten Island, NY
- NPI 1972715456
-
- General Acute Care Hospital
- New York, NY
- NPI 1194832477
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1448236800000",
"number": "1710902895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 E 38TH ST",
"address_2": "#6B",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100162637",
"telephone_number": "914-912-1780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 E 38TH ST",
"address_2": "#6B",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100162637",
"telephone_number": "914-912-1780"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOBRENSKI",
"first_name": "ROBERT",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-12",
"last_updated": "2015-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "015170",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02300558",
"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 Nov 23, 2015; 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.