Individual provider Active NPI

Nisha Ver Halen, PHD

  • Clinical Psychologist
  • New York, NY
National Provider Identifier
1871868158
Registry record updated Mar 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
68019355 Issued in NY
Practice address
275 Madison Ave
Suite 1916
New York, NY 10016-1101
Phone
(646) 418-3691
NPI assigned
Mar 20, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2012

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 68019355 NY Primary

Addresses

Primary practice location

275 Madison Ave
Suite 1916
New York, NY 10016-1101

Mailing address

149 Prospect Park SW
#11
Brooklyn, NY 11218-1236
Phone (646) 418-3691

Other names 1

  • Nisha Brady Former name

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
I20130806000042 NY Practitioner - Clinical Psychologist 4880836782 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Weill Medical College of CornellGroup PAC ID 6800709023, 2,023 clinicians

Practice addresses (Care Compare)

211 E 80TH St
New York, NY 10075-0531
Phone (646) 962-8690

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
85.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
68019355NYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Weill Medical College of Cornell Current Accepting new patients
Weill Medical College of Cornell CurrentSince May 21, 2018 Accepting new patients
University Physicians of Brooklyn CurrentSince Oct 24, 2012 Accepting new patients
University Physicians of Brooklyn, Inc. Current Accepting new patients
Weill Medical College of Cornell CurrentSince May 21, 2018 Accepting new patients
University Physicians of Brooklyn, Inc. Clinical CurrentSince Oct 24, 2012 Accepting new patients

Locations

450 Clarkson Ave
Brooklyn, NY 11203
Phone (718) 270-1603

1305 York Ave
Fl 8
New York, NY 10021
Phone (646) 962-3176

211 E 80th St
New York, NY 10075
Phone (212) 746-2158

Organizations & group practices 6

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": "1332201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332201600000",
    "number": "1871868158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 PROSPECT PARK SW",
            "address_2": "#11",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112181236",
            "telephone_number": "646-418-3691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 MADISON AVE",
            "address_2": "SUITE 1916",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100161101",
            "telephone_number": "646-418-3691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VER HALEN",
        "first_name": "NISHA",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-20",
        "last_updated": "2012-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "68019355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NISHA",
            "last_name": "BRADY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.