Active NPI
Beth Ann Pausic, PSY.D
- Clinical Psychologist
- New York, NY
National Provider Identifier
1013936145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 015208-1
- Practice address
- 257 Park Ave S
3Rd Floor
New York, NY 10010-7304 - Phone
- (212) 677-8550
- NPI assigned
- Jul 19, 2006
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 015208-1 | NY | Primary |
Addresses
Primary practice location
257 Park Ave S
3Rd Floor
New York, NY 10010-7304
Mailing address
257 Park Ave S
3Rd Floor
New York, NY 10010-7304
Phone (212) 677-8550
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02567884 | Medicaid | NY |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 015208-1 | NY | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Epilepsy Institute | Past | Accepting new patients | |
| The Epilepsy Institute | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- NPI 1184797284
-
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- New York, NY
- NPI 1255629127
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1224115200000",
"number": "1013936145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "257 PARK AVE S",
"address_2": "3RD FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100107304",
"telephone_number": "212-677-8550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "257 PARK AVE S",
"address_2": "3RD FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100107304",
"telephone_number": "212-677-8550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAUSIC",
"first_name": "BETH",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "PSY.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-19",
"last_updated": "2008-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "015208-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02567884",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.