Active NPI
Jane H Fixman, PH.D.
- Psychologist
- New York, NY
National Provider Identifier
1821156522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 6949
- Practice address
- 8 Gramercy Park S
2J
New York, NY 10003-1718 - Phone
- (212) 228-2115
- NPI assigned
- Dec 5, 2006
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 6949 | NY | Primary |
Addresses
Primary practice location
8 Gramercy Park S
2J
New York, NY 10003-1718
Mailing address
8 Gramercy Park S
2J
New York, NY 10003-1718
Phone (212) 228-2115
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 |
|---|---|---|---|---|
| I20080825000511 | NY | Practitioner - Clinical Psychologist | 3971678053 | Practice locations: Yonkers, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1155 Warburton Ave
Apt 5a
Yonkers, NY 10701-1031
Phone (212) 228-2115
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006949 | NY | MD | Mental Health Counselor |
| 6949 | NY | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184544000000",
"number": "1821156522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 GRAMERCY PARK S",
"address_2": "2J",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100031718",
"telephone_number": "212-228-2115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8 GRAMERCY PARK S",
"address_2": "2J",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100031718",
"telephone_number": "212-228-2115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FIXMAN",
"first_name": "JANE",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-05",
"last_updated": "2007-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "6949",
"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 Jul 16, 2007; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.