DR. CLIFFORD BRUCE PASSEN M.D.
NPI 1558567149
Psychiatry & Neurology - Child & Adolescent Psychiatry in Saratoga Springs, NY

Active since June 21, 2007Opted out of Medicare · through May 11, 2027
268 BROADWAY, SUITE 202, SARATOGA SPRINGS, NY 12866(518) 583-3002(518) 584-1666 Get Directions Write a Review

NPPES record last updated: January 14, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Clifford Bruce Passen M.d. NPPES

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

DR. CLIFFORD BRUCE PASSEN M.D. (NPI 1558567149) is an individual child & adolescent psychiatry provider in Saratoga Springs, New York, licensed in New York (199559) and active in the NPI registry since June 2007. He has opted out of Medicare through May 11, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1558567149
Entity TypeIndividualMale
Primary Taxonomy2084P0804X
Provider Legal NameDR. CLIFFORD BRUCE PASSENCredential: M.D.
Location Address268 BROADWAY, SUITE 202Saratoga Springs, NY 12866-2367
Mailing Address268 Broadway, Suite 202Saratoga Springs, NY 12866-2367 · (518) 583-3002 · Fax (518) 584-1666
Fax(518) 584-1666
Sole ProprietorYes
Enumeration DateJune 21, 2007
Last NPPES UpdateJanuary 14, 2010
NPI 1558567149 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License Licensed in NY · 199559
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 199559 (NY)
268 BROADWAY, Saratoga Springs, NY 12866

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. Clifford Bruce Passen M.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 May 11, 2015 through May 11, 2027.

Opt-Out Effective DateMay 11, 2015
Opt-Out In Effect ThroughMay 11, 2027Opt-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.

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 Clifford Passen's NPI number?

The NPI number for Clifford Passen is 1558567149. It was assigned to this individual provider in the NPPES registry on June 21, 2007.

Where is Clifford Passen located?

Clifford Passen practices at 268 Broadway Suite 202, Saratoga Springs, NY 12866. The listed phone number is (518) 583-3002.

What is Clifford Passen's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Clifford Passen enrolled in Medicare?

No. Clifford Passen has opted out of Medicare through May 11, 2027. 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 Clifford Passen was last updated on January 14, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.