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JERRY DUVINSKY PHD LICENSED PSYCHOLOGIST PC
NPI 1043684681
Psychologist - Clinical in Endicott, NY

Active since November 19, 2015
423 E MAIN ST STE 3, ENDICOTT, NY 13760(607) 754-1101(607) 754-1107 Get Directions Write a Review

NPPES record last updated: November 19, 2015. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Jerry Duvinsky Phd Licensed Psychologist Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JERRY DUVINSKY PHD LICENSED PSYCHOLOGIST PC (NPI 1043684681) is a healthcare organization registered as a clinical in Endicott, New York and active in the NPI registry since November 2015. The organization lists Jerry Duvinsky, President, as its authorized official.

NPPES Registry Identity

NPI1043684681
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameJERRY DUVINSKY PHD LICENSED PSYCHOLOGIST PC
Location Address423 E MAIN ST STE 3Endicott, NY 13760-6940
Mailing Address423 E Main St Ste 3Endicott, NY 13760-6940 · (607) 754-1101 · Fax (607) 754-1107
Phone(607) 754-1101
Fax(607) 754-1107
Organization SubpartNo
Authorized OfficialJerry DuvinskyPresident · (607) 754-1101
Enumeration DateNovember 19, 2015
✔ NPI 1043684681 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in NY · 010363
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
423 E MAIN ST STE 3, Endicott, NY 13760
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Other Identifiers 2

Medicaid01409512NY
Medicare UPIN52559BNY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jerry Duvinsky Phd Licensed Psychologist Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Jerry Duvinsky Phd Licensed Psychologist PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jerry Duvinsky, PHD
Clinical Psychologist
NPI 1265504211
804 VALLEY PLZ
Johnson City, NY 13790
(607) 797-1100
✔ PECOS4.3 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jerry Duvinsky Phd Licensed Psychologist PC's NPI number?

The NPI number for Jerry Duvinsky Phd Licensed Psychologist PC is 1043684681. It was assigned to this organization in the NPPES registry on November 19, 2015.

Where is Jerry Duvinsky Phd Licensed Psychologist PC located?

Jerry Duvinsky Phd Licensed Psychologist PC is located at 423 E Main St Ste 3, Endicott, NY 13760. The listed phone number is (607) 754-1101.

What is Jerry Duvinsky Phd Licensed Psychologist PC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Jerry Duvinsky Phd Licensed Psychologist PC enrolled in Medicare?

Yes. Jerry Duvinsky Phd Licensed Psychologist PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jerry Duvinsky Phd Licensed Psychologist PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Jerry Duvinsky Phd Licensed Psychologist PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Jerry Duvinsky Phd Licensed Psychologist PC was last updated on November 19, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.