Active NPI
Hubertus Raben, M.A., L.P.
- Psychoanalyst
- Brooklyn, NY
National Provider Identifier
1073865515
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychoanalyst
- License
- 000350-1
- Practice address
- 17 S Elliott PL
Brooklyn, NY 11217-1207 - Phone
- (917) 268-4166
- NPI assigned
- Oct 8, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychoanalyst | 102L00000X | 000350-1 | NY | Primary |
Addresses
Primary practice location
17 S Elliott PL
Brooklyn, NY 11217-1207
Mailing address
17 S Elliott PL
Brooklyn, NY 11217-1207
Phone (917) 268-4166
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
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000350-1 | NY | MD | Psychoanalyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561161600000",
"number": "1073865515",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 S ELLIOTT PL",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112171207",
"telephone_number": "917-268-4166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 S ELLIOTT PL",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112171207",
"telephone_number": "917-268-4166"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RABEN",
"first_name": "HUBERTUS",
"name_prefix": "Mr.",
"credential": "M.A., L.P.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-10-08",
"last_updated": "2019-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "102L00000X",
"taxonomy_group": "",
"desc": "Psychoanalyst",
"state": "NY",
"license": "000350-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.