DR. AMY RENEE MALKIN-INGOGLIA PH.D.
NPI 1306954623
Psychologist - Clinical in Brooklyn, NY

Active since August 27, 2006Opted out of Medicare · through Aug 14, 2026
800 POLY PL, VANYHHCS, BROOKLYN: DEPARTMENT OF PSYCHOLOGY (116B), BROOKLYN, NY 11209(718) 836-6600(718) 630-2894 Get Directions Write a Review

NPPES record last updated: April 15, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Amy Renee Malkin-ingoglia Ph.d. NPPES

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

DR. AMY RENEE MALKIN-INGOGLIA PH.D. (NPI 1306954623) is an individual clinical provider in Brooklyn, New York, licensed in New York (016097) and active in the NPI registry since August 2006. She has opted out of Medicare through August 14, 2026 and remains eligible to order and refer and maintains a secondary practice location in Rockville Centre.

NPPES Registry Identity

NPI1306954623
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. AMY RENEE MALKIN-INGOGLIACredential: PH.D.
Location Address800 POLY PL, VANYHHCS, BROOKLYN: DEPARTMENT OF PSYCHOLOGY (116B)Brooklyn, NY 11209-7104
Mailing Address556 E BroadwayLong Beach, NY 11561-4534 · (516) 889-6547 · Fax (718) 630-2894
Fax(718) 630-2894
Sole ProprietorNo
Enumeration DateAugust 27, 2006
Last NPPES UpdateApril 15, 2024
NPPES CertifiedApril 13, 2024
NPI 1306954623 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 · 016097
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.

800 POLY PL, Brooklyn, NY 11209

Secondary Practice Location 1

Location 1100 N Village Ave Ste 36Rockville Centre, NY 11570-3712 · Phone (516) 567-6927

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Amy Renee Malkin-ingoglia Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 14, 2020 through August 14, 2026.

Opt-Out Effective DateAugust 14, 2020
Opt-Out In Effect ThroughAugust 14, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11209 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
$203.53 typical visit price
range $67.40 – $203.53
Typical copayment $50.88 (range $16.85 – $50.88)
Most-billed visit code 99205
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

Nurse Practitioner (Psychiatric/Mental Health)
800 POLY PL
BROOKLYN, NY 11209
Nurse Practitioner (Adult Health)
800 POLY PL, MEDICAL SERVICE
BROOKLYN, NY 11209
Nurse Practitioner
800 POLY PL
BROOKLYN, NY 11209
Internal Medicine
800 POLY PL, DEPARTMENT OF MEDICINE (111)
BROOKLYN, NY 11209
Physical Therapist
800 POLY PL
BROOKLYN, NY 11209
Internal Medicine (Rheumatology)
800 POLY PL, MEDICAL SERVICE (111 BK)
BROOKLYN, NY 11209
Internal Medicine
800 POLY PL, DEPT OF MEDICINE BK-111
BROOKLYN, NY 11209
Internal Medicine
800 POLY PL, BOX 111D
BROOKLYN, NY 11209

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 Amy Malkin-ingoglia's NPI number?

The NPI number for Amy Malkin-ingoglia is 1306954623. It was assigned to this individual provider in the NPPES registry on August 27, 2006.

Where is Amy Malkin-ingoglia located?

Amy Malkin-ingoglia practices at 800 Poly Pl Vanyhhcs, Brooklyn: Department Of Psychology (116b), Brooklyn, NY 11209. The listed phone number is (718) 836-6600.

What is Amy Malkin-ingoglia's specialty?

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

Is Amy Malkin-ingoglia enrolled in Medicare?

No. Amy Malkin-ingoglia has opted out of Medicare through August 14, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Amy Malkin-ingoglia was last updated on April 15, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.