Individual provider Active NPI

Clifford R. Mahler, PH.D.

  • Clinical Psychologist
  • Amherst, NY
National Provider Identifier
1902822810
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
005391-1 Issued in NY
Practice address
15 Danebrock Dr
Amherst, NY 14226-3430
Phone
(716) 832-5074
Fax
(716) 862-8886
NPI assigned
Jul 14, 2006
Sex
Male
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 005391-1 NY Primary

Addresses

Primary practice location

15 Danebrock Dr
Amherst, NY 14226-3430

Mailing address

15 Danebrock Dr
Amherst, NY 14226-3430
Phone (716) 832-5074

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
I20050705000607 NY Practitioner - Clinical Psychologist 5496791022 Practice locations: Eggertsville, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

15 Danebrock Dr
Amherst, NY 14226-3430

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
005391-1NYMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902822810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 DANEBROCK DR",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142263430",
            "telephone_number": "716-832-5074",
            "fax_number": "716-862-8886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 DANEBROCK DR",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142263430",
            "telephone_number": "716-832-5074",
            "fax_number": "716-862-8886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHLER",
        "first_name": "CLIFFORD",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "005391-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amherst, NY

Sources for this page

Verify at the official NPI Registry.