Active NPI
Judith Covitz Maidenbaum, PH.D.
- Psychoanalyst
- New York City, NY
National Provider Identifier
1821266818
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychoanalyst
- License
- 000589-1
- Practice address
- 11 East 78TH Street
Suite 1a
New York City, NY 10075 - Phone
- (212) 628-0987
- NPI assigned
- Feb 13, 2008
- 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 |
|---|---|---|---|---|
| Psychoanalyst | 102L00000X | 000589-1 | NY | Primary |
Addresses
Primary practice location
11 East 78TH Street
Suite 1a
New York City, NY 10075
Mailing address
11 East 78TH Street
Suite 1a
New York City, NY 10075
Phone (212) 628-0987
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000589-1 | NY | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202860800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202860800000",
"number": "1821266818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 EAST 78TH STREET",
"address_2": "SUITE 1A",
"city": "NEW YORK CITY",
"state": "NY",
"postal_code": "10075",
"telephone_number": "212-628-0987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 EAST 78TH STREET",
"address_2": "SUITE 1A",
"city": "NEW YORK CITY",
"state": "NY",
"postal_code": "10075",
"telephone_number": "212-628-0987"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAIDENBAUM",
"first_name": "JUDITH",
"middle_name": "COVITZ",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-02-13",
"last_updated": "2008-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "102L00000X",
"taxonomy_group": "",
"desc": "Psychoanalyst",
"state": "NY",
"license": "000589-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York City, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.