Individual provider Active NPI

Andrea J. Karweck, PSY.D

  • Clinical Psychologist
  • Hamilton, NY
National Provider Identifier
1831522465
Registry record updated Jan 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
023152 Issued in NY
Practice address
1055 Madison Marketplace
Hamilton, NY 13346-2343
Phone
(315) 825-3111
Fax
(315) 825-3017
NPI assigned
Aug 19, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2023

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 023152 NY Primary

Addresses

Primary practice location

1055 Madison Marketplace
Hamilton, NY 13346-2343

Mailing address

1055 Madison Marketplace
Hamilton, NY 13346-2343
Phone (315) 825-3111

Other identifiers 2

IdentifierTypeStateIssuer
000000850674OtherINBCBS MEMORIAL CHILDRENS HOSPITAL
201184450MedicaidIN

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
I20191002000847 NY Practitioner - Clinical Psychologist 3274769534 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Imogene Bassett Hospital CurrentSince Sep 16, 2019 Accepting new patients
Mary Imogene Bassett Hospital CurrentSince Sep 16, 2019 Accepting new patients

Locations

178 Grandview Dr
Cobleskill, NY 12043
Phone (518) 254-3456

1 Atwell Rd
Cooperstown, NY 13326
Phone (607) 547-3480

1055 Madison Marketplace
Hamilton, NY 13346
Phone (315) 825-3100

Interoperability endpoints

  • Direct secure messaging: andreakarweck@beacon.allscriptsdirect.net

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": "1376870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674777600000",
    "number": "1831522465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 MADISON MARKETPLACE",
            "city": "HAMILTON",
            "state": "NY",
            "postal_code": "133462343",
            "telephone_number": "315-825-3111",
            "fax_number": "315-825-3017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 MADISON MARKETPLACE",
            "city": "HAMILTON",
            "state": "NY",
            "postal_code": "133462343",
            "telephone_number": "315-825-3111",
            "fax_number": "315-825-3017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARWECK",
        "first_name": "ANDREA",
        "middle_name": "J.",
        "credential": "PSY.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-19",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "023152",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MEMORIAL CHILDRENS HOSPITAL",
            "identifier": "000000850674",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201184450",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, NY

Sources for this page

Verify at the official NPI Registry.