Individual provider Active NPI

Jason Michael Duncan, PH.D.

  • Clinical Psychologist
  • New York, NY
National Provider Identifier
1902335623
Registry record updated Apr 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3659 Issued in CT
Practice address
60 E 42ND St Ste 4600
New York, NY 10165-0006
Phone
(914) 447-8986
NPI assigned
Jun 6, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2018

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 021732 NY
Clinical Psychologist 103TC0700X 4876 NC
Clinical Psychologist 103TC0700X PY60602588 WA
Clinical Psychologist 103TC0700X 3659 CT Primary

Addresses

Primary practice location

60 E 42ND St Ste 4600
New York, NY 10165-0006

Mailing address

7 Balint Dr Apt 516
Yonkers, NY 10710-3928

Other practice location 1

2 Overhill Rd Ste 400
Scarsdale, NY 10583-5316
Phone (914) 447-8986

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Previously, effective Sep 1, 2018 through Sep 1, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
3659CTMDClinical Psychologist
PY60602588WAMDClinical Psychologist
4876NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Jason Duncan LLC Clinical Current Accepting new patients

Locations

60 E 42nd St
Ste 4600
New York, NY 10165
Phone (203) 800-9778

2 Overhill Rd
Ste 400
Scarsdale, NY 10583
Phone (203) 660-0687

Organizations & group practices 1

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": "1496707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524614400000",
    "number": "1902335623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 BALINT DR APT 516",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107103928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 E 42ND ST STE 4600",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101650006",
            "telephone_number": "914-447-8986"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Overhill Rd Ste 400",
            "address_purpose": "LOCATION",
            "city": "Scarsdale",
            "state": "NY",
            "postal_code": "105835316",
            "country_code": "US",
            "telephone_number": "914-447-8986",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUNCAN",
        "first_name": "JASON",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-06",
        "last_updated": "2018-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "021732",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "4876",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PY60602588",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CT",
            "license": "3659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.