Individual provider Active NPI

Patricia A Murray, PH.D.

  • Psychologist
  • Baldwin, NY
National Provider Identifier
1992926521
Registry record updated Mar 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
012021-1 Issued in NY
Practice address
1600 Grand Avenue
Apt. U1
Baldwin, NY 11510-1892
Phone
(516) 377-0949
NPI assigned
May 1, 2007
Last updated
Mar 26, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 012021-1 NY Primary

Addresses

Primary practice location

1600 Grand Avenue
Apt. U1
Baldwin, NY 11510-1892

Mailing address

1600 Grand Avenue
Apt. U1
Baldwin, NY 11510-1892
Phone (516) 410-7657

Other practice location 1

645 W Broadway
Long Beach, NY 11561-2902
Phone (516) 889-1100

Other practice location 2

431 Beach 20th St
Far Rockaway, NY 11691-3621
Phone (718) 327-2700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: No
  • 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
I20110106000283 NY Practitioner - Clinical Psychologist 2769671759 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
012021-1NYMDPsychologist
012021NYMDSpeech-Language Pathologist

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585180800000",
    "number": "1992926521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 GRAND AVENUE",
            "address_2": "APT. U1",
            "city": "BALDWIN",
            "state": "NY",
            "postal_code": "115101892",
            "telephone_number": "516-410-7657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 GRAND AVENUE",
            "address_2": "APT. U1",
            "city": "BALDWIN",
            "state": "NY",
            "postal_code": "115101892",
            "telephone_number": "516-377-0949"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "645 W Broadway",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "NY",
            "postal_code": "115612902",
            "country_code": "US",
            "telephone_number": "516-889-1100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "431 Beach 20th St",
            "address_purpose": "LOCATION",
            "city": "Far Rockaway",
            "state": "NY",
            "postal_code": "116913621",
            "country_code": "US",
            "telephone_number": "718-327-2700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MURRAY",
        "first_name": "PATRICIA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2020-03-26",
        "certification_date": "2020-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "012021-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baldwin, NY

Sources for this page

Verify at the official NPI Registry.