Dr. Ethan Gologor is a New York, New York based psychologist with 52 years of experience in Clinical Psychology. He completed his graduation in 1973. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Ethan Gologor is 004698 for General Psychology in New York. His current practice location is 340 E. 93 St, 21e, New York. Patients can reach him at 212-737-0072. Dr. Ethan Gologor is PH.D. in Clinical Psychology and his NPI number (Unique professional ID assigned by NPPES) is 1790825503.
Dr. Ethan Gologor is a mental health professional with highly specialized training in the diagnosis and psychological treatment of mental, behavioral and emotional illnesses, including obsessive-compulsive disorder (OCD). His main focus is on diagnosing and treating mental, emotional, and behavioral disorders. Some of the common disorders that he can treat are learning disabilities, substance abuse, depression, anxiety, and eating disorders.
Complete Profile:
Dr. Ethan Gologor speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Dr. Ethan Gologor |
| Specialization: | Clinical Psychology |
| Gender: | Male |
| Credentials: | PH.D. |
| Experience: | 52+ years |
| Medical School Attended: | Other |
| Graduation Year: | 1973 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 340 E. 93 St, 21e, New York,
New York, 10128-5555 |
| Phone: | 212-737-0072 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 6800084393 |
| Enrollment ID: | I20101228000618 |
| NPI Number: | 1790825503 |
| NPI Enumeration Date: | 08 Feb, 2007 |
| NPI Last Update On: | 01 Mar, 2022 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Ethan Gologor are as mentioned below.
| License Number | Specialization | State | Status | |
| 004698 | General Psychology | New York | Primary | |
| 004698 | Clinical Psychology | New York | Secondary | |
| 004698 | Exercise & Sports Psychology | New York | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Ethan Gologor such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 146126 | Other | New York | VALUE OPTIONS |
| 61033707 | Other | New York | UBH |
| 00921811 | Medicaid | New York | |
| 0099997 | Other | New York | GHI-CBP |
| 176973 | Other | New York | MHN |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Dr. Ethan Gologor
340 E. 93 St., Apt. 21e
New York, New York |
| Zip: | 10128-5555 |
| Phone Number: | 212-737-0072 |
Patients can reach Dr. Ethan Gologor at
340 E. 93 St, 21e, New York, New York or can
call to book an appointment on 212-737-0072.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.