DR. BRETT DAVID GORKIN PH.D.
NPI 1790851251
Psychologist - Clinical in New York, NY

Active since November 28, 2006Opted out of Medicare · through May 18, 2028
333 W 56TH ST, 1F, NEW YORK, NY 10019(212) 765-7961 Get Directions Write a Review

NPPES record last updated: March 14, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Brett David Gorkin Ph.d. NPPES

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

DR. BRETT DAVID GORKIN PH.D. (NPI 1790851251) is an individual clinical provider in New York, New York, licensed in New York (6146) and active in the NPI registry since November 2006. He has opted out of Medicare through May 18, 2028.

NPPES Registry Identity

NPI1790851251
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. BRETT DAVID GORKINCredential: PH.D.
Location Address333 W 56TH ST, 1FNew York, NY 10019-3764
Mailing Address333 W 56th St, 1fNew York, NY 10019-3764 · (212) 765-7961
Sole ProprietorYes
Enumeration DateNovember 28, 2006
Last NPPES UpdateMarch 14, 2015
NPI 1790851251 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 · 6146
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.
333 W 56TH ST, New York, NY 10019

Other Identifiers 3

Medicare ID-Type UnspecifiedV27221NY · Provider Number
Medicare UPINR52097NY
Medicare ID-Type UnspecifiedV27222NY · Provider Number Second Of

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. Brett David Gorkin Ph.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 18, 2022 through May 18, 2028.

Opt-Out Effective DateMay 18, 2022
Opt-Out In Effect ThroughMay 18, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
333 W 56TH ST
NEW YORK, NY 10019
Psychologist (Clinical)
333 W 56TH ST, SUITE 2-C
NEW YORK, NY 10019

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 Brett Gorkin's NPI number?

The NPI number for Brett Gorkin is 1790851251. It was assigned to this individual provider in the NPPES registry on November 28, 2006.

Where is Brett Gorkin located?

Brett Gorkin practices at 333 W 56th St 1F, New York, NY 10019. The listed phone number is (212) 765-7961.

What is Brett Gorkin's specialty?

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

Is Brett Gorkin enrolled in Medicare?

No. Brett Gorkin has opted out of Medicare through May 18, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Brett Gorkin was last updated on March 14, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.