Ellyn Altman, PHD, PC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

ELLYN ALTMAN, PHD, PC

Practice address

57 Old Pond Rd
Great Neck, NY 11023-1029

Phone

(516) 829-5034

Fax

(516) 487-3899

NPI assigned

Nov 19, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Ellyn D. Altman, PH.D.NPI 1831315639

Title

President

Phone

(516) 829-5034

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ellyn Dicker Altman, PH.D.

  • Psychologist
  • Great Neck, NY
  • NPI 1831315639
  NPD (past) Authorized official

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

{
    "created_epoch": "1227052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227052800000",
    "number": "1083869929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 OLD POND RD",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110231029",
            "telephone_number": "516-829-5034",
            "fax_number": "516-487-3899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 OLD POND RD",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110231029",
            "telephone_number": "516-829-5034",
            "fax_number": "516-487-3899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLYN ALTMAN, PHD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-19",
        "last_updated": "2008-11-19",
        "status": "A",
        "authorized_official_last_name": "ALTMAN",
        "authorized_official_first_name": "ELLYN",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-829-5034",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ellen Nadell-Siegel Ma-SLP PLLC
• Elliot L. Auerbach, DDS, PC
• Alexa Renee Ellis, MSN, RN, FNP-BC
• Lauren M. Ellis, PH.D.
• Brian David Ellison, PSY.D
• Elsa Lee
• Lewis I Elson, DDS
• Dana A Elya, R.D.
• Arvin Elyasi, D.D.S
• Jessica Emberger, OT

• Clinical Psychologist in Great Neck, NY
• Providers in Great Neck, 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 19, 2008; 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.