Active NPI
David Dorfman, PH.D.
- Psychologist
- New York, NY
National Provider Identifier
1912039207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 010567
- Practice address
- 1 Gustave L Levy PL
Dept of Psychiatry
New York, NY 10029-6500 - Phone
- (212) 241-0440
- Fax
- (815) 346-5354
- NPI assigned
- Mar 12, 2007
- Last updated
- Sep 11, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 010567 | NY | |
| Psychologist | 103T00000X | 010567 | NY | Primary |
Addresses
Primary practice location
1 Gustave L Levy PL
Dept of Psychiatry
New York, NY 10029-6500
Mailing address
8412 35TH Ave
Apt 6J
Jackson Heights, NY 11372-5453
Phone (212) 241-0440
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)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1912039207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8412 35TH AVE",
"address_2": "APT 6J",
"city": "JACKSON HEIGHTS",
"state": "NY",
"postal_code": "113725453",
"telephone_number": "212-241-0440",
"fax_number": "815-346-5354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 GUSTAVE L LEVY PL",
"address_2": "DEPT OF PSYCHIATRY",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100296500",
"telephone_number": "212-241-0440",
"fax_number": "815-346-5354"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DORFMAN",
"first_name": "DAVID",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-12",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "NY",
"license": "010567",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "010567",
"primary": true
}
],
"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 Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.