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DR. JASON STAAL PSY.D.
NPI 1578606166
Psychologist - Cognitive & Behavioral in Ny, NY

Active since February 14, 2007PECOS EnrolledAccepts Medicare Assignment
281 1ST AVE E 16TH ST BETH ISRAEL MEDICAL CENTER, NY, NY 10003(212) 420-2834(212) 844-7659 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Jason Staal Psy.d. NPPES

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

DR. JASON STAAL PSY.D. (NPI 1578606166) is an individual cognitive & behavioral provider in Ny, New York, licensed in New York (0134371) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1993).

NPPES Registry Identity

NPI1578606166
Entity TypeIndividualMale
Primary Taxonomy103TB0200X
Provider Legal NameDR. JASON STAALCredential: PSY.D.
Location Address281 1ST AVE E 16TH ST BETH ISRAEL MEDICAL CENTERNy, NY 10003
Mailing AddressBeth Israel Medical Center, 1st Ave At 16th StNy, NY 10003 · (212) 420-2834 · Fax (212) 844-7659
Phone(212) 420-2834
Fax(212) 844-7659
Sole ProprietorYes
Medical School CMSOtherGraduated 1993
Enumeration DateFebruary 14, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1578606166 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Cognitive & BehavioralBehavioral Health & Social Service Providers
Taxonomy Code103TB0200X
License✔ Licensed in NY · 0134371
Definition
A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking.
281 1ST AVE E 16TH ST BETH ISRAEL MEDICAL CENTER, Ny, NY 10003
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Other Identifiers 1

Medicare ID-Type UnspecifiedV82891NY

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

Dr. Jason Staal Psy.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.

PECOS PAC ID1153589239
PECOS Enrollment IDI20120221000273
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.

Medicare Billing Reassignment

Medicare enrollment records show Jason Staal reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Icahn School Of Medicine At Mount Sinai
4.1 mi
Addiction Medicine
1425 MADISON AVE
New York, NY 10029
  • Reassigned Medicare billing, New York enrollment
  • 385 clinicians in this Medicare group
NPI 1033482518 (212) 987-3100

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

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, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
1,130 services25 patients

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 Jason Staal's NPI number?

The NPI number for Jason Staal is 1578606166. It was assigned to this individual provider in the NPPES registry on February 14, 2007.

Where is Jason Staal located?

Jason Staal practices at 281 1st Ave E 16th St Beth Israel Medical Center, Ny, NY 10003. The listed phone number is (212) 420-2834.

What is Jason Staal's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Cognitive & Behavioral, with taxonomy code 103TB0200X.

Is Jason Staal enrolled in Medicare?

Yes. Jason Staal 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 Jason Staal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jason Staal reassigns Medicare benefits to Icahn School Of Medicine At Mount Sinai (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 Jason Staal'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 Jason Staal 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.