Individual provider Active NPI

Beatrice L Caan, PH.D.

  • Clinical Psychologist
  • New York, NY
National Provider Identifier
1043284557
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
016365-1 Issued in NY
Practice address
153 E 87TH St
Apt. 7a
New York, NY 10128-2700
Phone
(212) 423-6442
NPI assigned
Feb 14, 2006
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
Clinical Psychologist 103TC0700X 016365-1 NY Primary

Addresses

Primary practice location

153 E 87TH St
Apt. 7a
New York, NY 10128-2700

Mailing address

153 E 87TH St
Apt. 7a
New York, NY 10128-2700
Phone (212) 423-6442

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
I20141230000076 NY Order and Referring Only - Clinical Psychologist 3173542297

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
016365NYMDMental Health Counselor
016365-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Geriatric Psychological Services PC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043284557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 E 87TH ST",
            "address_2": "APT. 7A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101282700",
            "telephone_number": "212-423-6442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 E 87TH ST",
            "address_2": "APT. 7A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101282700",
            "telephone_number": "212-423-6442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAAN",
        "first_name": "BEATRICE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "016365-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.