Individual provider Active NPI

Edward James Hickling, PSYD

  • Psychologist
  • Albany, NY
National Provider Identifier
1801903471
Registry record updated Oct 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
077701 Issued in NY
Practice address
4 Atrium Dr Ste 240
Albany, NY 12205-1441
Phone
(518) 453-9220
Fax
(518) 453-2326
NPI assigned
Aug 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 077701 NY Primary

Addresses

Primary practice location

4 Atrium Dr Ste 240
Albany, NY 12205-1441

Mailing address

4 Atrium Dr Ste 240
Albany, NY 12205-1441
Phone (518) 453-9220

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
I20041117000746 NY Practitioner - Clinical Psychologist 0143284364 Practice locations: Albany, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4 Atrium Dr
Suite 240
Albany, NY 12205-1441
Phone (518) 453-9220

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
077701NYMDClinical Social Worker
007770NYMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Nyc Medical Infusion PC PastSince Oct 17, 2023 Accepting new patients
Felicia Glenn Gerrol, PH.D., Inc PastSince Jan 26, 2019 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414454400000",
    "number": "1801903471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 ATRIUM DR STE 240",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122051441",
            "telephone_number": "518-453-9220",
            "fax_number": "518-453-2326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 ATRIUM DR STE 240",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122051441",
            "telephone_number": "518-453-9220",
            "fax_number": "518-453-2326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKLING",
        "first_name": "EDWARD",
        "middle_name": "JAMES",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-23",
        "last_updated": "2014-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "077701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.