Doctor profile · Federal record

Dr. Charles Miezejeski, PH.D.

Clinical Psychologist · New York, NY

  • NPI 1235145228
  • 20 yrs on file
  • Male
  • Solo practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
1745 Broadway, 17 Fl
New York, NY 100194640
(212) 851-8100
fax (212) 537-0102
Mailing address
556 College Ave
Staten Island, NY 103022510

Credentials & registration

NPPES · NUCC
NPI registered
July 2006 — 20 yrs on file
Profile last updated
November 11, 2021
Specialty taxonomy
103TC0700X — NUCC code
State license (1)
New York #6368
Medicaid
NY #01676984

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1235145228. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
330
Distinct HCPCS
3
Medicare allowed
$38,188
HCPCS Description Services Patients Avg allowed
90832 Psychotherapy, 30 minutes 223 21 $83
90791 Psychiatric diagnostic evaluation 78 72 $192
90791 Psychiatric diagnostic evaluation 29 29 $164

In context: peer comparison

Among 67 peers in New York Clinical Psychologist, average services per provider: 373. This provider delivers 0.9× the peer median.

Frequently asked questions

Auto-generated from federal data
What is Dr. Charles Miezejeski's medical specialty?
Dr. Charles Miezejeski practices Clinical Psychologist in New York, NY.
Where does Dr. Charles Miezejeski practice?
Dr. Charles Miezejeski practices at 1745 Broadway, New York, NY 100194640. Office phone: 2128518100.
What is Dr. Charles Miezejeski's NPI?
Dr. Charles Miezejeski's National Provider Identifier (NPI) is 1235145228, issued by NPPES.
What procedures does Dr. Charles Miezejeski commonly perform?
Top Medicare-reported procedures in 2023: Psychotherapy (HCPCS 90832); Psychiatric diagnostic evaluation (HCPCS 90791); Psychiatric diagnostic evaluation (HCPCS 90791). Source: CMS Medicare Physician & Other Practitioners file.