MARYAM OMIDI
NPI 1659093243
Psychologist - Clinical in New York, NY

Q: What is Maryam Omidi's NPI number?

The NPI number for Maryam Omidi is 1659093243. It was assigned to this individual provider in the NPPES registry on September 12, 2022.

Q: What is Maryam Omidi's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Maryam Omidi was last updated on November 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since September 12, 2022PECOS Enrolled

411 W 114TH ST, NEW YORK, NY 10025(212) 523-6489 Get Directions Write a Review

NPPES record last updated: November 6, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 6, 2023, Sep 12, 2022 (2 updates tracked since 2022).

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About Maryam Omidi NPPES

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

MARYAM OMIDI (NPI 1659093243) is an individual clinical provider in New York, New York, licensed in New York (025893) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1659093243

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameMARYAM OMIDI

Location Address411 W 114TH STNew York, NY 10025-1710

Mailing Address158 West 124th Street, Floor 7, Room 721New York, NY 10027 · (332) 243-0075

Phone(212) 523-6489

Sole ProprietorNo

Enumeration DateSeptember 12, 2022

Last NPPES UpdateNovember 6, 20232 updates tracked since enumeration

NPPES CertifiedNovember 3, 2023

✔ NPI 1659093243 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 · 025893

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.

411 W 114TH ST, New York, NY 10025

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Maryam Omidi 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10025 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. JENNA A ROSE PHD

Psychologist

411 W 114TH ST
NEW YORK, NY 10025

New York County (646) 334-9058

JENNA HOBEIKA MD

Student in an Organized Health Care Education/Training Program

411 W 114TH ST
NEW YORK, NY 10025

New York County (212) 523-8080

JENNIFER LYNN DULEK OTRL

Occupational Therapist

411 W 114TH ST, SUITE 4C
NEW YORK, NY 10025

New York County (212) 523-4110

DR. SCOTT MICHAEL SOKOL PH.D.

Psychologist (Clinical)

411 W 114TH ST
NEW YORK, NY 10025

New York County (508) 505-8677

DR. NADIA ZEIN HIDAYATALLAH PSY.D.

Psychologist

411 W 114TH ST
NEW YORK, NY 10025

New York County (212) 523-4885

DR. CANDACE MOOTOO PH.D.

Student in an Organized Health Care Education/Training Program

411 W 114TH ST
NEW YORK, NY 10025

New York County (201) 543-9401

DR. LAUREN SEFTON COTTRELL MD

Psychiatry & Neurology (Psychiatry)

411 W 114TH ST
NEW YORK, NY 10025

New York County (212) 523-4000

ANDREW SHAND LMSW

Social Worker

411 W 114TH ST
NEW YORK, NY 10025

New York County (212) 523-4028

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 Maryam Omidi's NPI number?

The NPI number for Maryam Omidi is 1659093243. It was assigned to this individual provider in the NPPES registry on September 12, 2022.

Where is Maryam Omidi located?

Maryam Omidi practices at 411 W 114th St, New York, NY 10025. The listed phone number is (212) 523-6489.

What is Maryam Omidi's specialty?

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

Is Maryam Omidi enrolled in Medicare?

Yes. Maryam Omidi is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Maryam Omidi was last updated on November 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.