Individual provider Active NPI

Erica Rahavy, MS, RDI CONSULTANT

  • Psychologist
  • Brooklyn, NY
National Provider Identifier
1083087324
Registry record updated Nov 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1232215 Issued in NY
Practice address
261 Eckford St Apt 1B
Brooklyn, NY 11222-2704
Phone
(917) 572-1189
NPI assigned
Nov 9, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 1232215 NY Primary

Addresses

Primary practice location

261 Eckford St Apt 1B
Brooklyn, NY 11222-2704

Mailing address

261 Eckford St Apt 1B
Brooklyn, NY 11222-2704
Phone (917) 572-1189

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 Science

State licenses

LicenseStateTypeSpecialty
1232215NYMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1447027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447027200000",
    "number": "1083087324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "261 ECKFORD ST APT 1B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112222704",
            "telephone_number": "917-572-1189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "261 ECKFORD ST APT 1B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112222704",
            "telephone_number": "917-572-1189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAHAVY",
        "first_name": "ERICA",
        "credential": "MS, RDI CONSULTANT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-09",
        "last_updated": "2015-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "1232215",
            "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 Nov 9, 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.