Individual provider Active NPI

Ruth Sara Mechaneck, PH.D.

  • Clinical Psychologist
  • New York, NY
National Provider Identifier
1861411175
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
5698 Issued in NY
Practice address
340 E 93Rd St
Suite Number 22M
New York, NY 10128-5547
Phone
(212) 876-6845
Fax
(212) 427-2476
NPI assigned
Jul 18, 2006
Sex
Female
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 5698 NY Primary

Addresses

Primary practice location

340 E 93Rd St
Suite Number 22M
New York, NY 10128-5547

Mailing address

340 E 93Rd St
Suite Number 22M
New York, NY 10128-5547
Phone (212) 427-2476

Other identifiers 1

IdentifierTypeStateIssuer
NS1373OtherNYOXFORD BEHAVIORAL HEALTH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: No
  • 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
I20101111000603 NY Practitioner - Clinical Psychologist 7113112541 Practice locations: New York, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
5698NYMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861411175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 E 93RD ST",
            "address_2": "SUITE NUMBER 22M",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101285547",
            "telephone_number": "212-427-2476",
            "fax_number": "212-427-2476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 E 93RD ST",
            "address_2": "SUITE NUMBER 22M",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101285547",
            "telephone_number": "212-876-6845",
            "fax_number": "212-427-2476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MECHANECK",
        "first_name": "RUTH",
        "middle_name": "SARA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "5698",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD BEHAVIORAL HEALTH",
            "identifier": "NS1373",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.