CHARLES MIEZEJESKI PH.D.
NPI 1235145228
Psychologist - Clinical in New York, NY

Q: What is Charles Miezejeski's NPI number?

The NPI number for Charles Miezejeski is 1235145228. It was assigned to this individual provider in the NPPES registry on July 31, 2006.

Q: What is Charles Miezejeski's specialty?

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

Active since July 31, 2006PECOS Enrolled

1745 BROADWAY, 17 FL, NEW YORK, NY 10019(212) 851-8100(212) 537-0102 Get Directions Write a Review

NPPES record last updated: November 11, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Charles Miezejeski Ph.d. NPPES

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

CHARLES MIEZEJESKI PH.D. (NPI 1235145228) is an individual clinical provider in New York, New York, licensed in New York (6368) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235145228

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameCHARLES MIEZEJESKICredential: PH.D.

Location Address1745 BROADWAY, 17 FLNew York, NY 10019-4640

Mailing Address556 College AveStaten Island, NY 10302-2510 · (718) 744-5941

Phone(212) 851-8100

Fax(212) 537-0102

Sole ProprietorYes

Enumeration DateJuly 31, 2006

Last NPPES UpdateNovember 11, 2021

NPPES CertifiedNovember 11, 2021

✔ NPI 1235145228 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 · 6368

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.

1745 BROADWAY, New York, NY 10019

Open in Google Maps ↗

Other Identifiers 1

Medicaid01676984NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Charles Miezejeski Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 30 minutes 90832

Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.

154 services21 patients

Psychiatric diagnostic evaluation 90791

A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.

64 services62 patients

Psychiatric diagnostic evaluation 90791

53 services52 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10019 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$198.19 typical visit price

range $65.69 – $198.19

Typical copayment $49.54 (range $16.42 – $49.54)

Most-billed visit code 99205

Established Patient

$114.88 typical visit price

range $21.20 – $160.66

Typical copayment $28.72 (range $5.30 – $40.16)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. LORRI REYNARD PH.D.

Psychologist (Clinical)

1745 BROADWAY, 17 FL
NEW YORK, NY 10019

New York County (212) 851-8100

DR. LISA G ROBIN PH.D.

Psychologist (Clinical)

1745 BROADWAY, 17 FL
NEW YORK, NY 10019

New York County (212) 851-8100

DAVID WELLEN PH.D.

Psychologist (Clinical)

1745 BROADWAY, 17 FL
NEW YORK, NY 10019

New York County (212) 851-8100

JANICE BLACKHAM PSY.D.

Psychologist (Clinical)

1745 BROADWAY, 17 FL.
NEW YORK, NY 10019

New York County (212) 851-8100

ABIGAIL GLEASON PH.D.

Psychologist (Clinical)

1745 BROADWAY, 17 FL
NEW YORK, NY 10019

New York County (212) 851-8100

DEBRA D CASSIDY PH.D.

Psychologist (Clinical)

1745 BROADWAY, 17 FL
NEW YORK, NY 10019

New York County (212) 851-8100

CYNTHIA FRANKEL PH.D.

Psychologist (Clinical)

1745 BROADWAY, 17 FL
NEW YORK, NY 10019

New York County (212) 851-8100

MOON LEE PH.D.

Psychologist (Clinical)

1745 BROADWAY, 17 FL
NEW YORK, NY 10019

New York County (212) 851-8102

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 Charles Miezejeski's NPI number?

The NPI number for Charles Miezejeski is 1235145228. It was assigned to this individual provider in the NPPES registry on July 31, 2006.

Where is Charles Miezejeski located?

Charles Miezejeski practices at 1745 Broadway 17 Fl, New York, NY 10019. The listed phone number is (212) 851-8100.

What is Charles Miezejeski's specialty?

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

Is Charles Miezejeski enrolled in Medicare?

Yes. Charles Miezejeski is registered in the Medicare PECOS enrollment system.

What insurance does Charles Miezejeski accept?

Health plans from Providence Health Plan list Charles Miezejeski as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Charles Miezejeski was last updated on November 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.