Individual provider Active NPI

Ifat Knaan-Kostman, PH.D.

  • Psychologist
  • New York, NY
National Provider Identifier
1023141900
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Practice address
62 Beach St
Apt 3D
New York, NY 10013-2382
Phone
(212) 562-3068
Fax
(212) 562-3494
NPI assigned
Mar 13, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X Primary

Addresses

Primary practice location

62 Beach St
Apt 3D
New York, NY 10013-2382

Mailing address

62 Beach St
Apt 3D
New York, NY 10013-2382
Phone (212) 562-3068

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
Credentials
Doctor of Philosophy

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023141900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 BEACH ST",
            "address_2": "APT 3D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100132382",
            "telephone_number": "212-562-3068",
            "fax_number": "212-562-3494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 BEACH ST",
            "address_2": "APT 3D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100132382",
            "telephone_number": "212-562-3068",
            "fax_number": "212-562-3494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNAAN-KOSTMAN",
        "first_name": "IFAT",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 8, 2007; 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.