Individual provider Active NPI

Stephen Alan Capson, PSY.D.

  • Clinical Psychologist
  • New York, NY
National Provider Identifier
1851300776
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
7221 Issued in NY
Practice address
252 7TH Ave
Apt. 6- O
New York, NY 10001-7326
Phone
(212) 924-7994
NPI assigned
Aug 7, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 7221 NY Primary

Addresses

Primary practice location

252 7TH Ave
Apt. 6- O
New York, NY 10001-7326

Mailing address

252 7TH Ave
Apt. 6- O
New York, NY 10001-7326
Phone (212) 924-7994

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
I20101012001080 NY Practitioner - Clinical Psychologist 8527250323 Practice locations: New York, 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)

252 7TH Ave
Suite 6 0
New York, NY 10001-7334

252 7TH Ave-Ste
New York, NY 10001-7334
Phone (212) 924-7994

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851300776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "252 7TH AVE",
            "address_2": "APT. 6- O",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100017326",
            "telephone_number": "212-924-7994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "252 7TH AVE",
            "address_2": "APT. 6- O",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100017326",
            "telephone_number": "212-924-7994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPSON",
        "first_name": "STEPHEN",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "7221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.