Active NPI
David J Parr, PSY.D.
- Psychologist
- Brewster, NY
National Provider Identifier
1922041532
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 014930
- Practice address
- 1456 Route 22
Suite 107
Brewster, NY 10509-4348 - Phone
- (917) 445-4926
- NPI assigned
- Jun 13, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 014930 | NY | Primary |
Addresses
Primary practice location
1456 Route 22
Suite 107
Brewster, NY 10509-4348
Mailing address
155 Main St
Suite 107
Brewster, NY 10509-1521
Phone (917) 445-4926
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 014930 | NY | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Shield of David, Inc. | Past | Accepting new patients |
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.
-
- Clinic/Center
- Bayside, NY
- NPI 1184661290
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403049600000",
"number": "1922041532",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "155 MAIN ST",
"address_2": "SUITE 107",
"city": "BREWSTER",
"state": "NY",
"postal_code": "105091521",
"telephone_number": "917-445-4926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1456 ROUTE 22",
"address_2": "SUITE 107",
"city": "BREWSTER",
"state": "NY",
"postal_code": "105094348",
"telephone_number": "917-445-4926"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARR",
"first_name": "DAVID",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-13",
"last_updated": "2014-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "014930",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brewster, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.