Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Ethan Gologor, PHD

Individual provider Clinical Psychologist · NPI 1790825503

Dr. Ethan Gologor, PHD is a Clinical Psychologist in New York, New York. Qualified in 1973, 53 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in New York.

Years since qualifying
53
Licensed in
NY
In the registry since
2007
Specialties on file
3
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

340 E 93 St 21E
New York, NY 10128-5555
Phone: (212) 737-0072
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 004698 (NY)
Clinical Psychologist Taxonomy 103TC0700X · Licence 004698 (NY)
Exercise & Sports Psychologist Taxonomy 103TE1100X · Licence 004698 (NY)

Record details

NPI number1790825503
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedFebruary 8, 2007
Last updated in NPPESMarch 1, 2022
Certification dateMarch 1, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1973 (53 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in New York