DR. ANDREW RAY ROSENDAHL M.D., PH.D.
NPI 1932369899
Psychiatry & Neurology - Psychiatry in New York, NY

Active since June 13, 2008Opted out of Medicare · through Jan 1, 2027
124 W 79TH ST, SUITE 1E, NEW YORK, NY 10024(646) 820-7792(855) 532-6102 Get Directions Write a Review

NPPES record last updated: July 15, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Andrew Ray Rosendahl M.d., Ph.d. NPPES

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

DR. ANDREW RAY ROSENDAHL M.D., PH.D. (NPI 1932369899) is an individual psychiatry provider in New York, New York, licensed in New York (254452) and active in the NPI registry since June 2008. He has opted out of Medicare through January 1, 2027.

NPPES Registry Identity

NPI1932369899
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. ANDREW RAY ROSENDAHLCredential: M.D., PH.D.
Location Address124 W 79TH ST, SUITE 1ENew York, NY 10024-6470
Mailing Address124 W 79th St, Suite 1eNew York, NY 10024-6470 · (646) 820-7792 · Fax (855) 532-6102
Fax(855) 532-6102
Sole ProprietorYes
Enumeration DateJune 13, 2008
Last NPPES UpdateJuly 15, 2012
NPI 1932369899 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License Licensed in NY · 254452
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
124 W 79TH ST, New York, NY 10024

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. Andrew Ray Rosendahl M.d., 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 January 1, 2021 through January 1, 2027.

Opt-Out Effective DateJanuary 1, 2021
Opt-Out In Effect ThroughJanuary 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 11

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

Marriage & Family Therapist
124 W 79TH ST, SUITE 1B
NEW YORK, NY 10024
Psychologist (Clinical)
124 W 79TH ST, 1E
NEW YORK, NY 10024
Psychologist (Clinical)
124 W 79TH ST, #1D
NY, NY 10024
Psychologist
124 W 79TH ST, SUITE 1C
NEW YORK, NY 10024
Registered Nurse (Psychiatric/Mental Health)
124 W 79TH ST, SUITE 1D
NEW YORK, NY 10024
Psychologist
124 W 79TH ST, SUITE 1B
NEW YORK, NY 10024
Specialist
124 W 79TH ST, SUITE D
NEW YORK, NY 10024
Psychologist (Clinical)
124 W 79TH ST, SUITE 1C
NEW YORK, NY 10024

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 Andrew Rosendahl's NPI number?

The NPI number for Andrew Rosendahl is 1932369899. It was assigned to this individual provider in the NPPES registry on June 13, 2008.

Where is Andrew Rosendahl located?

Andrew Rosendahl practices at 124 W 79th St Suite 1E, New York, NY 10024. The listed phone number is (646) 820-7792.

What is Andrew Rosendahl's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Andrew Rosendahl enrolled in Medicare?

No. Andrew Rosendahl has opted out of Medicare through January 1, 2027. 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 Andrew Rosendahl was last updated on July 15, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.