Dan Raviv, PHD

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

000276 Issued in NY

Practice address

133 W 25TH St
#3
New York, NY 10001-7206

Phone

(516) 695-3925

NPI assigned

May 10, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276214400000",
    "number": "1003020728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1051 FENWOOD DR",
            "address_2": "#3",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115802412",
            "telephone_number": "516-812-6672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 W 25TH ST",
            "address_2": "#3",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100017206",
            "telephone_number": "516-695-3925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAVIV",
        "first_name": "DAN",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-10",
        "last_updated": "2010-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "000276",
            "primary": true
        },
        {
            "code": "102L00000X",
            "taxonomy_group": "",
            "desc": "Psychoanalyst",
            "state": "NY",
            "license": "000571",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aishwarya Raviprolu
• Michelle Ravitsky
• Alan Ravitz, MD
• Risa M Ravitz, M.D.
• Ayelette Raviv, M.S.
• Galit Raviv, M.A. CCC-SLP
• Leigh S Raviv, N.P.
• Micaela Sara Raviv, PSYD
• Tal Raviv, M.D.
• Krishna Teja Ravivarapu, MD

• Mental Health Counselor in New York, NY
• Providers in New York, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.