Active NPI
Rachel Davidson Maldonado, PSY.D.
- Clinical Psychologist
- Brooklyn, NY
National Provider Identifier
1740212778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 016794
- Practice address
- Kings County Hospital Center
451 Clarkson Avenue
Brooklyn, NY 11203 - Phone
- (718) 245-2479
- NPI assigned
- Jul 7, 2006
- Sex
- Female
- 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 | 016794 | NY | Primary |
Addresses
Primary practice location
Kings County Hospital Center
451 Clarkson Avenue
Brooklyn, NY 11203
Mailing address
451 Clarkson Ave,
R Building, Dept of Child and Adolescent Psychiatry
Brooklyn, NY 11203
Phone (646) 554-6992
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 016794 | NY | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1252627200000",
"number": "1740212778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "451 CLARKSON AVE,",
"address_2": "R BUILDING, DEPT OF CHILD AND ADOLESCENT PSYCHIATRY",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11203",
"telephone_number": "646-554-6992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "KINGS COUNTY HOSPITAL CENTER",
"address_2": "451 CLARKSON AVENUE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11203",
"telephone_number": "718-245-2479"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALDONADO",
"first_name": "RACHEL",
"middle_name": "DAVIDSON",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-07",
"last_updated": "2009-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "016794",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2009; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.