Elder Psychological Solutions PC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

009378-1 Issued in NY

Legal business name

ELDER PSYCHOLOGICAL SOLUTIONS PC

Practice address

799 E Gun Hill Rd
Bronx, NY 10467-6107

Phone

(203) 912-5719

NPI assigned

Mar 5, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Evelyn Llewellyn, PSY.D.

Title

President

Phone

(203) 912-5719

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Richard P. Cressen, PH.D.

  • Psychologist
  • New York, NY
  • NPI 1477545879
  NPD (past)
• Michael Lonski, PH.D.

  • Clinical Psychologist
  • New York, NY
  • NPI 1386707768
  NPD (past)

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

{
    "created_epoch": "1204675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205452800000",
    "number": "1023288065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 SHORE RD",
            "city": "OLD GREENWICH",
            "state": "CT",
            "postal_code": "068702214",
            "telephone_number": "203-912-5719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "799 E GUN HILL RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104676107",
            "telephone_number": "203-912-5719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELDER PSYCHOLOGICAL SOLUTIONS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-05",
        "last_updated": "2008-03-14",
        "status": "A",
        "authorized_official_last_name": "LLEWELLYN",
        "authorized_official_first_name": "EVELYN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-912-5719",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "NY",
            "license": "009378-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02104396",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elise Marie Elbrecht, LCSW
• Adam Eldahan, FNP DNP
• Mamdouh M Eldeeb, PT
• Mohamed M. Hassib Eldefrawi, M.D., PH.D.
• Elder Pharmacy LLC (Leroy Pharmacy)
• Gregory Allen Elder, M.D.
• Elderedge Inc.
• Elderedge Inc.
• Kellyann E Eldermire, PHARMD
• Elderserve Health, Inc.

• Psychologist in Bronx, NY
• Providers in Bronx, NY by specialty
• Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.

Verify at the official NPI Registry.