Individual provider Active NPI

Andrew Magidoff, PSY.D.

  • Clinical Psychologist
  • New York, NY
National Provider Identifier
1891000394
Registry record updated May 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
68-020448 Issued in NY
Practice address
60 W 10TH St
6B
New York, NY 10011-8765
Phone
(347) 450-6022
NPI assigned
Aug 10, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2014

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 68-020448 NY Primary
Group Psychotherapy Psychologist 103TP2701X 68-020448 NY
Clinical Child & Adolescent Psychologist 103TC2200X 68-020448 NY
Adult Development & Aging Psychologist 103TA0700X 68-020448 NY
Cognitive & Behavioral Psychologist 103TB0200X 68-020448 NY
Family Psychologist 103TF0000X 68-020448 NY

Addresses

Primary practice location

60 W 10TH St
6B
New York, NY 10011-8765

Mailing address

456 9TH St
2
Brooklyn, NY 11215-4103
Phone (347) 450-6022

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

State licenses

LicenseStateTypeSpecialty
68-020448NYMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1281398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400803200000",
    "number": "1891000394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "456 9TH ST",
            "address_2": "2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112154103",
            "telephone_number": "347-450-6022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 W 10TH ST",
            "address_2": "6B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100118765",
            "telephone_number": "347-450-6022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGIDOFF",
        "first_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-08-10",
        "last_updated": "2014-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "68-020448",
            "primary": true
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "NY",
            "license": "68-020448",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NY",
            "license": "68-020448",
            "primary": false
        },
        {
            "code": "103TA0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Adult Development & Aging",
            "state": "NY",
            "license": "68-020448",
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "NY",
            "license": "68-020448",
            "primary": false
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": "NY",
            "license": "68-020448",
            "primary": false
        }
    ],
    "identifiers": [],
    "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 May 23, 2014; 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.