EARL DWORKIN PH.D.
NPI 1164567533
Psychologist - Clinical in Schenectady, NY
About Earl Dworkin Ph.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EARL DWORKIN PH.D. (NPI 1164567533) is an individual clinical provider in Schenectady, New York, licensed in New York (003374-1) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS and is a graduate of University Of Rochester School Of Medicine And Dentistry (1967).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Earl Dworkin Ph.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Earl Dworkin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
New York, NY 10036
- Reassigned Medicare billing, New York enrollment
- 3 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 12309 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Earl Dworkin's NPI number?
The NPI number for Earl Dworkin is 1164567533. It was assigned to this individual provider in the NPPES registry on February 21, 2007.
Where is Earl Dworkin located?
Earl Dworkin practices at 1430 Valencia Rd, Schenectady, NY 12309. The listed phone number is (518) 374-7925.
What is Earl Dworkin's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Earl Dworkin enrolled in Medicare?
Yes. Earl Dworkin is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Earl Dworkin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Earl Dworkin reassigns Medicare benefits to Healthy Connections Psychological Services, PLLC (New York, NY). The 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 Earl Dworkin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Earl Dworkin was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Earl Dworkin, PH.D. · NPI 1164567533
Clinical provider in Schenectady, New York. Individual provider, active in the CMS NPPES registry since February 21, 2007.
## Identity
- **NPI:** 1164567533 (Entity type: Individual)
- **Enumerated:** February 21, 2007
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** 003374-1 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1430 VALENCIA RD, Schenectady, NY 12309-4318
- **Phone:** (518) 374-7925
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Healthy Connections Psychological Services, PLLC (NPI 1669886099, New York, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Rochester School Of Medicine And Dentistry, class of 1967
## Record status
- **NPPES last updated:** July 8, 2007
- **Other identifiers:** Medicaid 02549177 (NY); Medicare ID-Type Unspecified RA1756 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1164567533) · Data from the CMS NPPES public registry.