Elmira Raeifar, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

024471 Issued in NY

Practice address

710 W 168TH St # Ni-12
New York, NY 10032-3726

Phone

(646) 426-3876

NPI assigned

Aug 16, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1629072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637107200000",
    "number": "1053086660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 W 168TH ST # NI-12",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100323726",
            "telephone_number": "646-426-3876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 W 168TH ST # NI-12",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100323726",
            "telephone_number": "646-426-3876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAEIFAR",
        "first_name": "ELMIRA",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-16",
        "last_updated": "2021-11-17",
        "certification_date": "2021-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "024471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.columbiadoctors.org",
            "affiliation": "N",
            "address_1": "710 W 168th St # Ni-12",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100323726",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• David J Radzinski
• Lydia Radziul, LMSW
• Patricia Ann Radziul, CPNP
• Rae Ritke, Inc.
• Sandra Rae, PA-C
• Margaret May Raelson, LCSW
• Elizabeth Raetz, M.D.
• Maria Liliana Raez
• Rafael Abramov Medical, P.C.
• Alexandra Klein Rafaeli, PSY.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2021; 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.