Active NPI
Amy J. Ojerholm, PH.D.
- Psychologist
- New York, NY
National Provider Identifier
1801978176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 014410
- Practice address
- 420 Madison Ave
Suite 400
New York, NY 10017 - Phone
- (917) 783-3099
- Fax
- (212) 366-8144
- NPI assigned
- Oct 19, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 014410 | NY | |
| Psychologist | 103T00000X | 014410 | NY | Primary |
Addresses
Primary practice location
420 Madison Ave
Suite 400
New York, NY 10017
Mailing address
1080 Warburton Ave
Apt 6E
Yonkers, NY 10701
Phone (917) 783-3099
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 014410 | NY | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369785600000",
"number": "1801978176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1080 WARBURTON AVE",
"address_2": "APT 6E",
"city": "YONKERS",
"state": "NY",
"postal_code": "10701",
"telephone_number": "917-783-3099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 MADISON AVE",
"address_2": "SUITE 400",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10017",
"telephone_number": "917-783-3099",
"fax_number": "212-366-8144"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OJERHOLM",
"first_name": "AMY",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-19",
"last_updated": "2013-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "014410",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "014410",
"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 May 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.