DR. ETHAN GOLOGOR PH.D.
NPI 1790825503
Psychologist in New York, NY

Active since February 08, 2007PECOS EnrolledAccepts Medicare Assignment
340 E. 93 ST, 21E, NEW YORK, NY 10128(212) 737-0072 Get Directions Write a Review

NPPES record last updated: March 1, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Ethan Gologor Ph.d. NPPES

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

DR. ETHAN GOLOGOR PH.D. (NPI 1790825503) is an individual psychologist in New York, New York, licensed in New York (004698) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1973).

NPPES Registry Identity

NPI1790825503
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. ETHAN GOLOGORCredential: PH.D.
Location Address340 E. 93 ST, 21ENew York, NY 10128-5555
Mailing Address340 E. 93 St., Apt. 21eNew York, NY 10128-5555 · (212) 737-0072
Sole ProprietorYes
Medical School CMSOtherGraduated 1973
Enumeration DateFebruary 8, 2007
Last NPPES UpdateMarch 1, 2022
NPPES CertifiedMarch 1, 2022
NPI 1790825503 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in NY · 004698
Definition
A 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.
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 004698 (NY)
Also ListedPsychologist · Exercise & SportsTaxonomy 103TE1100X · License 004698 (NY)
340 E. 93 ST, New York, NY 10128

Other Identifiers 5

Other176973NY · Mhn
Medicaid00921811NY
Other146126NY · Value Options
Other61033707NY · Ubh
Other0099997NY · Ghi-cbp

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Ethan Gologor Ph.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 ID6800084393
PECOS Enrollment IDI20101228000618
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.

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 Ethan Gologor's NPI number?

The NPI number for Ethan Gologor is 1790825503. It was assigned to this individual provider in the NPPES registry on February 8, 2007.

Where is Ethan Gologor located?

Ethan Gologor practices at 340 E. 93 St 21E, New York, NY 10128. The listed phone number is (212) 737-0072.

What is Ethan Gologor's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Ethan Gologor enrolled in Medicare?

Yes. Ethan Gologor 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.

What insurance does Ethan Gologor accept?

Health plans from Providence Health Plan list Ethan Gologor as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ethan Gologor was last updated on March 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.