Active NPI
Benjamin Samuel Klein, PH.D.
- Clinical Psychologist
- New York, NY
National Provider Identifier
1851727606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 020863
- Practice address
- 410 E 92ND St
New York, NY 10128-6881 - Phone
- (212) 831-3667
- Fax
- (212) 831-5254
- NPI assigned
- Sep 24, 2013
- Sex
- Male
- 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 |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 1284837 | NY | |
| Clinical Psychologist | 103TC0700X | 020863 | NY | Primary |
Addresses
Primary practice location
410 E 92ND St
New York, NY 10128-6881
Mailing address
281 Windsor PL
Apt. 8
Brooklyn, NY 11218-1227
Phone (917) 232-8860
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1284837 | Other | NY | SCHOOL PSYCHOLOGIST CERTIFICATION |
| 020863 | Other | NY | LICENSED CLINICAL PSYCHOLOGIST |
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 |
|---|---|---|---|
| 020863 | NY | MD | Clinical Psychologist |
| 1284837 | NY | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444089600000",
"number": "1851727606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "281 WINDSOR PL",
"address_2": "APT. 8",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112181227",
"telephone_number": "917-232-8860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 E 92ND ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "101286881",
"telephone_number": "212-831-3667",
"fax_number": "212-831-5254"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLEIN",
"first_name": "BENJAMIN",
"middle_name": "SAMUEL",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-09-24",
"last_updated": "2015-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "NY",
"license": "1284837",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "020863",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SCHOOL PSYCHOLOGIST CERTIFICATION",
"identifier": "1284837",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED CLINICAL PSYCHOLOGIST",
"identifier": "020863",
"state": "NY"
}
],
"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 Oct 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.