Individual provider Active NPI

Benjamin Samuel Klein, PH.D.

  • Clinical Psychologist
  • New York, NY
National Provider Identifier
1851727606
Registry record updated Oct 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
020863 Issued in NY
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

Updated by the provider on Oct 6, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1284837OtherNYSCHOOL PSYCHOLOGIST CERTIFICATION
020863OtherNYLICENSED 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

LicenseStateTypeSpecialty
020863NYMDClinical Psychologist
1284837NYMDSchool 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.

Verify at the official NPI Registry.