MAYIMUNA Y PETTIFORD PH.D.
NPI 1902158538
Psychologist - Clinical in New York, NY

Active since October 05, 2012PECOS Enrolled
214 W HOUSTON ST, NEW YORK, NY 10014(212) 337-9400 Get Directions Write a Review

NPPES record last updated: October 5, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mayimuna Y Pettiford Ph.d. NPPES

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

MAYIMUNA Y PETTIFORD PH.D. (NPI 1902158538) is an individual clinical provider in New York, New York, licensed in New York (019680) and active in the NPI registry since October 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902158538
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameMAYIMUNA Y PETTIFORDCredential: PH.D.
Location Address214 W HOUSTON STNew York, NY 10014-4846
Mailing Address303 Merrick Rd, Suite 204Lynbrook, NY 11563-2501 · (800) 725-6280 · Fax (800) 725-6380
Sole ProprietorNo
Enumeration DateOctober 5, 2012
NPI 1902158538 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 · 019680
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.

214 W HOUSTON ST, New York, NY 10014

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mayimuna Y Pettiford Ph.d. 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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 30 minutes 90832
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.
208 services48 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
54 services54 patients
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.
32 services21 patients
Family psychotherapy with patient, 50 minutes 90847
Family psychotherapy is a 50-minute session where a therapist helps the patient and their family understand and manage mental health issues. It's a collaborative process that aims to improve communication, solve family problems, understand and handle special family situations, and create a better functioning home environment.
28 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10014 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 7

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

Internal Medicine (Geriatric Medicine)
214 W HOUSTON ST, VILLAGECARE REHABILITATION AND NURSING CENTER
NEW YORK, NY 10014
Occupational Therapy Assistant
214 W HOUSTON ST
NEW YORK, NY 10014
Physical Therapy Assistant
214 W HOUSTON ST
NEW YORK, NY 10014
Physical Medicine & Rehabilitation
214 W HOUSTON ST
NEW YORK, NY 10014
Nurse Practitioner (Adult Health)
214 W HOUSTON ST
NEW YORK, NY 10014
Nurse Practitioner (Adult Health)
214 W HOUSTON ST
NEW YORK, NY 10014
Skilled Nursing Facility
214 W HOUSTON ST
NEW YORK, NY 10014

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1902158538, enumerated as an "individual" on October 05, 2012.

The provider is located at 214 W HOUSTON ST NEW YORK, NY 10014 and the phone number is (212) 337-9400.

Psychologist with taxonomy code 103TC0700X and a focus in Clinical.