Individual provider Active NPI

Joelle Efthimiou, PHD

  • Clinical Neuropsychologist
  • Hampton Bays, NY
National Provider Identifier
1013948272
Registry record updated Aug 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
012465 Issued in NY
Practice address
1 Norwood Rd
Hampton Bays, NY 11946-3620
Phone
(631) 252-2430
NPI assigned
Jul 6, 2006
Last updated
Aug 11, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 012465 NY Primary
Counseling Psychologist 103TC1900X 012465-1 NY

Addresses

Primary practice location

1 Norwood Rd
Hampton Bays, NY 11946-3620

Mailing address

1 Norwood Rd
Hampton Bays, NY 11946-3620
Phone (631) 252-2430

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110204000536 NY Practitioner - Clinical Psychologist 4688730237 Reassigns benefits to 4 organizations
Practice locations: Hampton Bays, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
012465-1NYMDCounseling Psychologist
012465NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
CS Pacs 3 Northeast, LLC CurrentSince Jan 1, 2024 Accepting new patients
Hospitalist Healthcare Services PLLC Current Accepting new patients
NV Pacs 2 LLC CurrentSince Jul 1, 2021 Accepting new patients
Hospitalist Healthcare Services PLLC CurrentSince Sep 22, 2014 Accepting new patients
New York General Medical Services PC CurrentSince Dec 1, 2017 Accepting new patients
Hospitalist Healthcare Services PLLC CurrentSince Sep 22, 2014 Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

3530 Wayne Ave
Bronx, NY 10467
Phone (718) 655-1700

6411 Beach Channel Dr
Far Rockaway, NY 11692
Phone (718) 471-7010

4241 201st St
Flushing, NY 11361
Phone (516) 599-5688

2090 Albany Post Rd
Montrose, NY 10548

420 E 76th St
New York, NY 10021
Phone (212) 434-5300

17850 Linden Blvd
Rochdale Village, NY 11434
Phone (718) 990-0300

1 Elsie St
Rome, NY 13440
Phone (315) 336-4435

101 Elm St
Sayville, NY 11782
Phone (631) 244-2400

2902 Upper Tibbits Ave
Troy, NY 12180
Phone (518) 273-2040

100 Lake Rd
Vly Cottage, NY 10989
Phone (845) 268-6813

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597104000000",
    "number": "1013948272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 NORWOOD RD",
            "city": "HAMPTON BAYS",
            "state": "NY",
            "postal_code": "119463620",
            "telephone_number": "631-252-2430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 NORWOOD RD",
            "city": "HAMPTON BAYS",
            "state": "NY",
            "postal_code": "119463620",
            "telephone_number": "631-252-2430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EFTHIMIOU",
        "first_name": "JOELLE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NY",
            "license": "012465",
            "primary": true
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NY",
            "license": "012465-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampton Bays, NY

Sources for this page

Verify at the official NPI Registry.