Active NPI
Kalpana Doraiswamy, PSY.D
- Clinical Psychologist
- Bronx, NY
National Provider Identifier
1720151541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 011943
- Practice address
- 2880 Baisley Ave
Bronx, NY 10461-6117 - Phone
- (914) 693-8109
- Fax
- (914) 591-2242
- NPI assigned
- Nov 17, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | 011943 | NY | Primary |
Addresses
Primary practice location
2880 Baisley Ave
Bronx, NY 10461-6117
Mailing address
12 Beechwood CT
Dobbs Ferry, NY 10522-3201
Phone (914) 693-8109
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01632902 | 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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20071203000420 | NY | Practitioner - Clinical Psychologist | 0446349104 | Practice locations: Bronx, NY; Newburg, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
21 N Plank Rd
Psychol Biofeedback SVCS of West
Newburg, NY 12550-2128
Phone (914) 693-8109
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363132800000",
"number": "1720151541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 BEECHWOOD CT",
"city": "DOBBS FERRY",
"state": "NY",
"postal_code": "105223201",
"telephone_number": "914-693-8109",
"fax_number": "914-591-2242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2880 BAISLEY AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104616117",
"telephone_number": "914-693-8109",
"fax_number": "914-591-2242"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DORAISWAMY",
"first_name": "KALPANA",
"name_prefix": "Dr.",
"credential": "PSY.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-17",
"last_updated": "2013-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "011943",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01632902",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2013; 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.