Individual provider Active NPI

David P. Eckert, PSY.D.

  • Psychologist
  • Roslyn Heights, NY
National Provider Identifier
1912995341
Registry record updated Sep 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
009144 Issued in NY
Practice address
2 Willow St
Woodhull Medical & Mental Health Center
Roslyn Heights, NY 11577-1204
Phone
(718) 963-8000
Fax
(718) 630-3122
NPI assigned
Oct 10, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 009144 NY Primary

Addresses

Primary practice location

2 Willow St
Woodhull Medical & Mental Health Center
Roslyn Heights, NY 11577-1204

Mailing address

760 Broadway Department of Managed Care Room 2B230
Woodhull Medical & Mental Health Center
Brooklyn, NY 11206
Phone (718) 963-8000

Other identifiers 5

IdentifierTypeStateIssuer
6135431OtherNYUBH CLAIMS
P3100074OtherNYOXFORD
0084917OtherNYGHI AND VALUEOPTIONS
V53041OtherNYEMPIRE BCBS
000735976001OtherNYONEHEALTH PLAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040504001521 NY Practitioner - Clinical Psychologist 7416945746 Reassigns benefits to 3 organizations
Practice locations: Roslyn Heights, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Che Senior Psychological Services, PCGroup PAC ID 8022905314, 227 clinicians

Practice addresses (Care Compare)

300 Cadman PLZ W
Brooklyn, NY 11201-3211
Phone (888) 515-3834

Merit-based Incentive Payment System (MIPS)

Final score
93.85 of 100Reported as group
Quality
80.43
Improvement activities
40
Cost
82.04

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
009144NYMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Supportive Care Psychology of Ny PC CurrentSince Jun 1, 2022 Accepting new patients
Che Senior Psychological Services, PC CurrentSince May 16, 2024 Accepting new patients
Knapp Street Psychiatry, PC CurrentSince May 16, 2024 Accepting new patients

Locations

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

1915 Ocean Ave
Brooklyn, NY 11230
Phone (718) 258-7700

300 Cadman Plz W
Fl 12
Brooklyn Heights, NY 11201
Phone (212) 439-7955

250 Beach 17th St
Far Rockaway, NY 11691
Phone (516) 670-0212

7810 164th St
Fresh Meadows, NY 11366
Phone (718) 429-2200

170 Lake St
Liberty, NY 12754
Phone (845) 292-4200

10 Claremont Ave
Mount Vernon, NY 10550
Phone (718) 459-0700

100 Park Ave
Fl 16
New York, NY 10017
Phone (212) 433-2384

330 Chestnut St
Oneonta, NY 13820
Phone (607) 432-8500

209 Beach 125th St
Rockaway Park, NY 11694
Phone (516) 721-7625

50 Maine Ave
Rockville Ctr, NY 11570
Phone (516) 508-3552

135 Vanderbilt Ave
Staten Island, NY 10304
Phone (718) 447-0101

Organizations & group practices 3

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": "1128902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474761600000",
    "number": "1912995341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "760 BROADWAY DEPARTMENT OF MANAGED CARE ROOM 2B230",
            "address_2": "WOODHULL MEDICAL & MENTAL HEALTH CENTER",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11206",
            "telephone_number": "718-963-8000",
            "fax_number": "718-630-3122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 WILLOW ST",
            "address_2": "WOODHULL MEDICAL & MENTAL HEALTH CENTER",
            "city": "ROSLYN HEIGHTS",
            "state": "NY",
            "postal_code": "115771204",
            "telephone_number": "718-963-8000",
            "fax_number": "718-630-3122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECKERT",
        "first_name": "DAVID",
        "middle_name": "P.",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-10",
        "last_updated": "2016-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "009144",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UBH CLAIMS",
            "identifier": "6135431",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P3100074",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI AND VALUEOPTIONS",
            "identifier": "0084917",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BCBS",
            "identifier": "V53041",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ONEHEALTH PLAN",
            "identifier": "000735976001",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roslyn Heights, NY

Sources for this page

Verify at the official NPI Registry.