H Michael Kushner PHD Psychologist PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

H MICHAEL KUSHNER PHD PSYCHOLOGIST PLLC

Practice address

90 Broad St Ste 211
New York, NY 10004-2205

Phone

(914) 400-4875

NPI assigned

Apr 27, 2024

Organization subpart

No

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

Authorized official

Name

Michael Kushner

Title

Principal/Psychologist

Phone

(914) 400-4875

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• H. Michael Kushner, PH.D.

  • Clinical Psychologist
  • New York, NY
  • NPI 1083903611
  Medicare reassignment NPD

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

{
    "created_epoch": "1714176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714176000000",
    "number": "1982450243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20620",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103020620",
            "telephone_number": "914-400-4875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 BROAD ST STE 211",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100042205",
            "telephone_number": "914-400-4875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "H MICHAEL KUSHNER PHD PSYCHOLOGIST PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-27",
        "last_updated": "2024-04-27",
        "certification_date": "2024-04-27",
        "status": "A",
        "authorized_official_last_name": "KUSHNER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRINCIPAL/PSYCHOLOGIST",
        "authorized_official_telephone_number": "914-400-4875"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in New York, NY
• Providers in New York, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.