Individual provider Active NPI

Joshua Maserow, PHD, CLINICAL PSYCH

  • Clinical Psychologist
  • New York, NY
National Provider Identifier
1730951542
Registry record updated Oct 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
P125080 Issued in NY
Practice address
345 E 102ND St FL 2
New York, NY 10029-5611
Phone
(212) 241-8462
NPI assigned
Oct 25, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X P125080 NY Primary

Addresses

Primary practice location

345 E 102ND St FL 2
New York, NY 10029-5611

Mailing address

229 W 60TH St Apt 16T
New York, NY 10023-7513
Phone (646) 617-5790

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240902000491 NY Practitioner - Clinical Psychologist 6406395680 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
P125080NYMDClinical Psychologist
026610NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Icahn School of Medicine at Mount Sinai CurrentSince Sep 1, 2024 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Sep 1, 2024 Accepting new patients

Locations

150 E 42nd St
Fl 2
New York, NY 10017
Phone (646) 605-8119

1425 Madison Ave
New York, NY 10029
Phone (212) 824-8150

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1698192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698192000000",
    "number": "1730951542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 W 60TH ST APT 16T",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100237513",
            "telephone_number": "646-617-5790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 E 102ND ST FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100295611",
            "telephone_number": "212-241-8462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASEROW",
        "first_name": "JOSHUA",
        "name_prefix": "Dr.",
        "credential": "PHD, CLINICAL PSYCH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-10-25",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "P125080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.