MS. ALMAS MERCHANT M.A. NPI 1568745487

Psychologist in New York, NY

Individual Female Psychologist PECOS Enrolled MIPS Quality Score 93.3

About MS. ALMAS MERCHANT M.A.

Almas Merchant is a provider established in New York, New York and her medical specialization is Psychologist. The NPI number of Almas Merchant is 1568745487 and was assigned on September 2011. The practitioner's primary taxonomy code is 103T00000X. The provider is registered as an individual and her NPI record was last updated 11 years ago.

A psychologist like Ms. Almas Merchant M.a. studies cognitive, emotional, social processes and behavior by observing, interpreting, and recording how people relate to one another and to their environments. Psychologists gather information and evaluate behavior through controlled laboratory experiments, psychoanalysis, psychotherapy or through personality, performance, aptitude, or intelligence tests, and use this information when testing theories in their research or when treating patients.

NPI

1568745487

Provider NameMS. ALMAS MERCHANT M.A.
Provider Location Address135 W 50TH ST 6TH FLOOR NEW YORK, NY 10020
Provider Mailing Address506 EASTERN PKWY APT A2 BROOKLYN, NY 11225
GenderFemale
NPI Entity TypeIndividual
Is Sole Proprietor?Yes
Enumeration Date09-27-2011
Last Update Date09-27-2011



Almas Merchant is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME)..

Almas Merchant is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.

The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 93.3, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.



Primary Taxonomy

Taxonomy Code103T00000X
ClassificationPsychologist
TypeBehavioral Health & Social Service Providers
Taxonomy DescriptionA psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Business Address

MS. ALMAS MERCHANT M.A.
135 W 50TH ST
6TH FLOOR
NEW YORK, NY
ZIP 10020
Phone: (212) 632-4699

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Mailing Address

MS. ALMAS MERCHANT M.A.
506 EASTERN PKWY
APT A2
BROOKLYN, NY
ZIP 11225
Phone: (347) 453-1133


PECOS Enrollment and Medicare Participation

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)No
Eligible order / refer Power Mobility DevicesNo

Overall MIPS Quality Performance

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in Medicare's Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

MIPS Measure Score Weight Score
Quality 40% 100
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
Promoting Interoperability (PI) 25% 61
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.
Improvement Activities 15% 40
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs.

The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.
Cost 20% N/A
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
MIPS Final Score - 93.3
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1568745487
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2512814410416
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 2 + 8 + 1 + 4 + 4 + 1 + 0 + 4 + 1 + 6 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1568745487 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1306887849MS. BONNIE BERKOWITZ LCSW
Individual
Counselor (Mental Health)135 W 50TH ST 6TH FLOOR
NEW YORK, NY 10020
(212) 799-3924
1366755134 CYNTHIA MCCALLA
Individual
Registered Nurse135 W 50TH ST
NEW YORK, NY 10020
(212) 582-9100
1477869147MR. PATRICK THOMAS
Individual
Social Worker135 W 50TH ST
NEW YORK, NY 10020
(212) 582-9100
1346557998 DEREK J NAGY M.A.
Individual
Psychologist135 W 50TH ST 6TH FLOOR
NEW YORK, NY 10020
(212) 632-4699
1255648804DR. DANA GOREN PH.D.
Individual
Psychologist135 W 50TH ST 6TH FLOOR
NEW YORK, NY 10020
(212) 632-4703
1174833388MS. GLORIA S BLUMENTHAL LMSW
Individual
Social Worker135 W 50TH ST
NEW YORK, NY 10020
(212) 582-9100
1902106917MS. NANCY MAGIDSON LMSW
Individual
Social Worker135 W 50TH ST 6TH FLOOR
NEW YORK, NY 10020
(212) 582-9100
1689975872MS. REBECCA LYNN MELTZ
Individual
Social Worker135 W 50TH ST 6TH FLOOR
NEW YORK, NY 10020
(212) 632-4480
1336442599MS. RUTHIE ELIZABETH ISRAELI M.S.W
Individual
Social Worker135 W 50TH ST
NEW YORK, NY 10020
(718) 520-8045
1235434390 ZELDA RANEE THOMPSON RN
Individual
Registered Nurse135 W 50TH ST
NEW YORK, NY 10020
(718) 945-5372
1225327729 ROBIN STERNBERG LMSW
Individual
Social Worker135 W 50TH ST 6TH FLOOR
NEW YORK, NY 10020
(212) 632-4730
1770878985 MERI DIANE WALLACE LCSW
Individual
Social Worker (Clinical)135 W 50TH ST 6TH FLOOR
NEW YORK, NY 10020
(212) 582-9100
1275820755 JONATHAN KATZ LCSW
Individual
Social Worker (Clinical)135 W 50TH ST
NEW YORK, NY 10020
(212) 632-4731
1124316302DR. RAVITAL KRANZLER KORN PH.D.
Individual
Psychologist (Clinical)135 W 50TH ST 6TH FLOOR, SUITE 93
NEW YORK, NY 10020
(212) 632-4533
1548541865MS. EVA ANGELINA VAZQUEZ L.M.S.W.
Individual
Social Worker (Clinical)135 W 50TH ST 6TH FLOOR
NEW YORK, NY 10020
(212) 582-9100
1548544810 KEISHA FINNEY
Individual
Residential Treatment Facility, Emotionally Disturbed Children135 W 50TH ST 6 FLOOR
NEW YORK, NY 10020
(914) 773-6722
1578849501MS. IRMA KINGSLEY LCSW
Individual
Social Worker (Clinical)135 W 50TH ST 6TH FLOOR
NEW YORK, NY 10020
(212) 582-9100
1487930558 CECILIA ELLEN VENABLE BA
Individual
Counselor135 W 50TH ST 6TH FLOOR
NEW YORK, NY 10020
(718) 327-7660
1013294339 MEGHAN MICHELLE STEFFENS LMSW
Individual
Social Worker135 W 50TH ST 6TH FLOOR
NEW YORK, NY 10020
(212) 582-9100
1285901629 ROLANDA JOHNSON-DICKENS LMSW
Individual
Social Worker135 W 50TH ST
NEW YORK, NY 10020
(718) 327-7660

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
Ms. Almas Merchant M.a. is registered as an entity type code: 1. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.