Individual provider Active NPI

Steve Himmelstein, PH.D.

  • Clinical Psychologist
  • New York, NY
National Provider Identifier
1982701546
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
7487 Issued in NY
Practice address
79 W 12TH St
Apt#12E
New York, NY 10011-8565
Phone
(212) 675-3231
NPI assigned
Sep 17, 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 7487 NY Primary

Addresses

Primary practice location

79 W 12TH St
Apt#12E
New York, NY 10011-8565

Mailing address

79 W 12TH St
Apt#12E
New York, NY 10011-8565
Phone (212) 675-3231

Other identifiers 1

IdentifierTypeStateIssuer
P477692OtherNYOXFORD HEALTH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jul 1, 2015 through Jul 1, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7487NYMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1158451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982701546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 W 12TH ST",
            "address_2": "APT#12E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100118565",
            "telephone_number": "212-675-3231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 W 12TH ST",
            "address_2": "APT#12E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100118565",
            "telephone_number": "212-675-3231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIMMELSTEIN",
        "first_name": "STEVE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "7487",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTH",
            "identifier": "P477692",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.