Active NPI
Andrew Magidoff, PSY.D.
- Clinical Psychologist
- New York, NY
National Provider Identifier
1891000394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 68-020448
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 68-020448 | NY | MD | Clinical 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.