Active NPI
Elissa Jacobs Habinsky, PSYD
- Psychologist
- Mount Kisco, NY
National Provider Identifier
1013675750
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 024645
- Practice address
- 36 Smith Ave
Mount Kisco, NY 10549-2800 - Phone
- (914) 266-2601
- NPI assigned
- Nov 30, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 024645 | NY | Primary |
Addresses
Primary practice location
36 Smith Ave
Mount Kisco, NY 10549-2800
Mailing address
11 Palmer PL
Armonk, NY 10504-2326
Phone (516) 318-8773
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 024645 | NY | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1638230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638230400000",
"number": "1013675750",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 PALMER PL",
"city": "ARMONK",
"state": "NY",
"postal_code": "105042326",
"telephone_number": "516-318-8773"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36 SMITH AVE",
"city": "MOUNT KISCO",
"state": "NY",
"postal_code": "105492800",
"telephone_number": "914-266-2601"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HABINSKY",
"first_name": "ELISSA",
"middle_name": "JACOBS",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-30",
"last_updated": "2021-11-30",
"certification_date": "2021-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "024645",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Kisco, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.