DR. ALAN DAVID HACK (NPI# 1073543161) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073543161 |
| Entity Type | Individual |
| Full Name | DR. ALAN DAVID HACK |
| Credential | PH.D. |
| Practice Address |
200 W 57th St Suite 1400 New York NY 10019-3211 |
| Practice Telephone | 2123079730 |
| Practice Fax Number | 6464541479 |
| Mailing Telephone | 2123079730 |
| Mailing Fax Number | 6464541479 |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2009-03-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 010345 | NY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | TAX ID | 113409512 | 01 |
| NY | VALUE BEHAVIORAL HEALTH | 38365 | 01 |
| NY | GHI | 6800049 | 01 |
| NY | 01499114 | 05 | |
| NY | OXFORD | P568731 | 01 |
| Street Address |
200 W 57TH ST SUITE 1400 |
| City | NEW YORK |
| State | NY |
| Zip Code | 10019-3211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033112974 | Dominick Servedio | Audiologist | 200 W 57th St, Suite 910, New York, NY 10019-3211 | 2005-05-24 |
| 1619484706 | Monica Harilall | Physician Assistant | 200 W 57th St, New York, NY 10019-3211 | 2018-01-10 |
| 1255886198 | Jessica Berarducci | Nurse Practitioner | 200 W 57th St, Suite 200, New York, NY 10019-3211 | 2016-08-21 |
| 1033662473 | Asya Gutman | Physician Assistant | 200 W 57th St, Suite 608, New York, NY 10019-3211 | 2016-08-02 |
| 1730532557 | Life & Loss Mental Health Counseling, LLC | Counselor | 200 W 57th St, Suite 1310, New York, NY 10019-3211 | 2016-07-16 |
| 1801258413 | Dermatology Laser Group, Pllc. | Specialist | 200 W 57th St, Suite 510, New York, NY 10019-3211 | 2016-03-23 |
| 1801260682 | Hapworth Psychiatric Medical Pllc | Psychiatry & Neurology | 200 W 57th St, Suite 502, New York, NY 10019-3211 | 2015-11-17 |
| 1316319916 | Benjamin Hamburger | Psychologist | 200 W 57th St, 603, New York, NY 10019-3211 | 2015-10-22 |
| 1558732495 | New York Pain Consultants, LLC | Physical Medicine & Rehabilitation | 200 W 57th St, Suite 608, New York, NY 10019-3211 | 2015-10-19 |
| 1033580220 | Carnegie Oral & Maxillofacial Surgery, Pllc | Clinic/Center | 200 W 57th St, Suite 804, New York, NY 10019-3211 | 2015-10-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497391486 | Central Park Gyn | Obstetrics & Gynecology | 233 W 58th Street, New York, NY 10019 | 2019-11-25 |
| 1336794486 | Olivia Mandelbaum | Psychologist | Citpd At Mount Sinai West Hospital, 1000 10th Avenue, New York, NY 10019 | 2019-08-06 |
| 1740835958 | Kara Kaplan | Physical Medicine & Rehabilitation | 1 W 59th Street, Level A, La Palestra, New York, NY 10019 | 2019-08-05 |
| 1376196048 | Dyan Lesley Diemer | Massage Therapist | The Positive Mind Center, 119 West 57th Street Suite 1100, New York, NY 10019 | 2019-07-22 |
| 1144882499 | Tomohiro Fujisaki | Student in an Organized Health Care Education/Training Program | 1000, 10th Avenue, 3rd Floor 3a-08, New York, NY 10019 | 2019-07-07 |
| 1558823070 | Nazanin Khajoueinejad | Student in an Organized Health Care Education/Training Program | 425 West 59th Street, 7th Floor, Department of Surgery, New York, NY 10019 | 2019-04-03 |
| 1356801153 | Nicholas Theodoropoulos | Student in an Organized Health Care Education/Training Program | 1000 10th Avenue, 3rd Floor, 3a-08, New York, NY 10019 | 2019-03-20 |
| 1265990345 | Prohealth Care Associates, LLP | Occupational Therapist | 244-250 West 54th Street, Suite 404, New York, NY 10019 | 2019-03-07 |
| 1043784804 | Dr Rosemarie Zimmerman & Dr Andriy Krayniy Pllc | Dentist | 135 West 58 Street, Suite 1d, Nyc, NY 10019 | 2019-01-15 |
| 1053881680 | Mary Pender Greene | Social Worker | 311a West 50 Street, New York, NY 10019 | 2018-11-27 |
| Find all providers in zip 10019 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265031488 | John Raymond Keefe | Psychologist | 205 E 95th St Apt 6c, New York, NY 10128-0233 | 2020-10-19 |
| 1477150035 | Laura Joy Kaplan | Psychologist | 1619 3rd Ave Apt 29h, New York, NY 10128-3942 | 2020-10-07 |
| 1346852514 | Alicia Eminia Ramirez | Psychologist | 319 E 14th St Apt 1b, New York, NY 10003-4227 | 2020-08-19 |
| 1386253144 | Rachel L Adams | Psychologist | 270 Fort Washington Ave Apt 42, New York, NY 10032-1310 | 2020-07-28 |
| 1588281851 | Rachel Lynn Goldman | Psychologist | 315 E 62nd St Rm 5, New York, NY 10065-7767 | 2020-07-02 |
| 1558987941 | Kevin Rustam | Psychologist | 100 W 18th St Apt 5f, New York, NY 10011-5475 | 2020-06-22 |
| 1285250035 | Yaakov Weiner | Psychologist | 215 W 108th St Apt B2, New York, NY 10025-2982 | 2020-06-17 |
| 1790308864 | Ayelet Boussi | Psychologist | 270 Lafayette St Ste 702, New York, NY 10012-3384 | 2020-05-24 |
| 1740803089 | Ronald Joseph Saleh | Psychologist | 203 W 107th St Apt 9b, New York, NY 10025-3026 | 2020-05-21 |
| 1366062440 | Emily Bridget-polidore Reese | Psychologist | 11 Jay St Apt 3, New York, NY 10013-2847 | 2020-04-20 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.