DR. ALEC JAY MIODOWNIK PSYD
NPI 1861154395
Psychologist - Clinical in Brooklyn, NY

Active since October 12, 2021Opted out of Medicare · through Mar 19, 2028
800 POLY PL, BROOKLYN, NY 11209(718) 836-6600 Get Directions Write a Review

NPPES record last updated: October 6, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 6, 2022, Oct 12, 2021 (2 updates tracked since 2021).

About Dr. Alec Jay Miodownik Psyd NPPES

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

DR. ALEC JAY MIODOWNIK PSYD (NPI 1861154395) is an individual clinical provider in Brooklyn, New York, licensed in New York (024540) and active in the NPI registry since October 2021. He has opted out of Medicare through March 19, 2028.

NPPES Registry Identity

NPI1861154395
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. ALEC JAY MIODOWNIKCredential: PSYD
Location Address800 POLY PLBrooklyn, NY 11209-7104
Mailing Address800 Poly PlBrooklyn, NY 11209-7104 · (718) 836-6600
Sole ProprietorNo
Enumeration DateOctober 12, 2021
Last NPPES UpdateOctober 6, 20222 updates tracked since enumeration
NPPES CertifiedOctober 6, 2022
NPI 1861154395 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 · 024540
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.
800 POLY PL, Brooklyn, NY 11209

Other Names 1

Other Name (5)Dr. Avi Miodownik Psyd

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. Alec Jay Miodownik Psyd 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 March 19, 2024 through March 19, 2028.

Opt-Out Effective DateMarch 19, 2024
Opt-Out In Effect ThroughMarch 19, 2028Opt-out affidavits renew automatically every two years unless cancelled

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.

Social Worker
800 POLY PL
BROOKLYN, NY 11209
Social Worker (Clinical)
800 POLY PL
BROOKLYN, NY 11209
Psychologist (Clinical)
800 POLY PL
BROOKLYN, NY 11209
Physical Medicine & Rehabilitation
800 POLY PL
BROOKLYN, NY 11209
Social Worker
800 POLY PL
BROOKLYN, NY 11209
Social Worker (Clinical)
800 POLY PL
BROOKLYN, NY 11209
Social Worker (Clinical)
800 POLY PL
BROOKLYN, NY 11209
Social Worker (Clinical)
800 POLY PL
BROOKLYN, NY 11209

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 Alec Miodownik's NPI number?

The NPI number for Alec Miodownik is 1861154395. It was assigned to this individual provider in the NPPES registry on October 12, 2021. The provider is also known as Dr. Avi Miodownik Psyd.

Where is Alec Miodownik located?

Alec Miodownik practices at 800 Poly Pl, Brooklyn, NY 11209. The listed phone number is (718) 836-6600.

What is Alec Miodownik's specialty?

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

Is Alec Miodownik enrolled in Medicare?

No. Alec Miodownik has opted out of Medicare through March 19, 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 Alec Miodownik was last updated on October 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.