Individual provider Active NPI

Batsheva Halberstam, PHD

  • Clinical Psychologist
  • New York, NY
National Provider Identifier
1053721415
Registry record updated May 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0205101 Issued in NY
Practice address
300 W 72ND St
Suite #1C
New York, NY 10023-2660
Phone
(469) 608-1010
NPI assigned
May 6, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2015

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 0205101 NY Primary

Addresses

Primary practice location

300 W 72ND St
Suite #1C
New York, NY 10023-2660

Mailing address

4499 Henry Hudson Pkwy
Apt. #5D
Bronx, NY 10471-3828
Phone (469) 608-1010

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

State licenses

LicenseStateTypeSpecialty
0205101NYMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1399334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430438400000",
    "number": "1053721415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4499 HENRY HUDSON PKWY",
            "address_2": "APT. #5D",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104713828",
            "telephone_number": "469-608-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W 72ND ST",
            "address_2": "SUITE #1C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100232660",
            "telephone_number": "469-608-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALBERSTAM",
        "first_name": "BATSHEVA",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-06",
        "last_updated": "2015-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "0205101",
            "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 May 1, 2015; 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.