Individual provider Active NPI

Benjamin Ilan Dukas, PSYD

  • Clinical Psychologist
  • New York, NY
National Provider Identifier
1790669968
Registry record updated Aug 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
P137181 Issued in NY
Practice address
225 Broadway Ste 2010
New York, NY 10007-3738
Phone
(212) 899-5069
Fax
(347) 745-3166
NPI assigned
Aug 1, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2025

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 P137181 NY Primary

Addresses

Primary practice location

225 Broadway Ste 2010
New York, NY 10007-3738

Mailing address

225 Broadway Ste 2010
New York, NY 10007-3738
Phone (212) 899-5069

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
P137181NYMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1754006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754006400000",
    "number": "1790669968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 BROADWAY STE 2010",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100073738",
            "telephone_number": "212-899-5069",
            "fax_number": "347-745-3166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 BROADWAY STE 2010",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100073738",
            "telephone_number": "212-899-5069",
            "fax_number": "347-745-3166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUKAS",
        "first_name": "BENJAMIN",
        "middle_name": "ILAN",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-08-01",
        "last_updated": "2025-08-01",
        "certification_date": "2025-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "P137181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.