Individual provider Active NPI

Patricia R Griffin, PH.D.

  • Clinical Psychologist
  • Goshen, NY
National Provider Identifier
1770738890
Registry record updated Apr 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
012720-1 Issued in NY
Practice address
11 Webster Ave
Goshen, NY 10924-1545
Phone
(855) 330-7070
NPI assigned
Nov 18, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 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 012720-1 NY Primary

Addresses

Primary practice location

11 Webster Ave
Goshen, NY 10924-1545

Mailing address

2122 Route 6
Middletown, NY 10940-6156
Phone (855) 330-7070

Other practice location 1

5110 12th Ave
Brooklyn, NY 11219-3424
Phone (800) 275-3243

Other practice location 2

5110 12th Ave
Brooklyn, NY 11219-3424
Phone (800) 275-3243

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
I20081206000095 NY Practitioner - Clinical Psychologist 7214098441 Reassigns benefits to 1 organization
Practice locations: Goshen, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

11 Webster Ave
Goshen, NY 10924-1545
Phone (845) 590-3230

19 Hill St
Goshen, NY 10924-2113
Phone (845) 648-3700

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
012720-1NYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Attainable Hope Psychology Services PLLC Past Accepting new patients

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": "1226966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682640000000",
    "number": "1770738890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2122 ROUTE 6",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109406156",
            "telephone_number": "855-330-7070",
            "fax_number": "718-854-8308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 WEBSTER AVE",
            "city": "GOSHEN",
            "state": "NY",
            "postal_code": "109241545",
            "telephone_number": "855-330-7070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5110 12th Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112193424",
            "country_code": "US",
            "telephone_number": "800-275-3243",
            "fax_number": "718-854-8308",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5110 12th Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112193424",
            "country_code": "US",
            "telephone_number": "800-275-3243",
            "fax_number": "718-854-8308",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRIFFIN",
        "first_name": "PATRICIA",
        "middle_name": "R",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-18",
        "last_updated": "2023-04-28",
        "certification_date": "2023-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "012720-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goshen, NY

Sources for this page

Verify at the official NPI Registry.