Active NPI
Amy Morgenstern
- Clinical Psychologist
- Bronx, NY
National Provider Identifier
1750798484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 018502
- Practice address
- 555 Bergen Ave
Fourth Floor
Bronx, NY 10455-1368 - Phone
- (718) 742-8512
- Fax
- (718) 742-7800
- NPI assigned
- Jul 15, 2014
- 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 | 018502 | NY | Primary |
Addresses
Primary practice location
555 Bergen Ave
Fourth Floor
Bronx, NY 10455-1368
Mailing address
555 Bergen Avenue
Fourth Floor
Bronx, NY 10455
Phone (718) 742-8512
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 |
|---|---|---|---|---|
| I20231211000822 | NY | Practitioner - Clinical Psychologist | 2264881622 | Practice locations: New York, NY |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 018502 | NY | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628467200000",
"number": "1750798484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 BERGEN AVENUE",
"address_2": "FOURTH FLOOR",
"city": "BRONX",
"state": "NY",
"postal_code": "10455",
"telephone_number": "718-742-8512",
"fax_number": "718-742-8550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 BERGEN AVE",
"address_2": "FOURTH FLOOR",
"city": "BRONX",
"state": "NY",
"postal_code": "104551368",
"telephone_number": "718-742-8512",
"fax_number": "718-742-7800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORGENSTERN",
"first_name": "AMY",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-07-15",
"last_updated": "2021-08-09",
"certification_date": "2021-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "018502",
"primary": true
}
],
"identifiers": [],
"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 Aug 9, 2021; 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.