Active NPI
Sharon Levine Elghanayancsw, CSW
- Behavior Analyst
- New York, NY
National Provider Identifier
1124273107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 062890-1
- Practice address
- 1841 Broadway # Icp
New York, NY 10023-7603 - Phone
- (212) 333-3444
- NPI assigned
- Nov 18, 2008
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 062890-1 | NY | Primary |
Addresses
Primary practice location
1841 Broadway # Icp
New York, NY 10023-7603
Mailing address
944 5TH Ave
New York, NY 10021-2656
Phone (212) 249-4199
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 062890-1 | NY | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1226966400000",
"number": "1124273107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "944 5TH AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100212656",
"telephone_number": "212-249-4199",
"fax_number": "212-472-6181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1841 BROADWAY # ICP",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100237603",
"telephone_number": "212-333-3444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELGHANAYANCSW",
"first_name": "SHARON",
"middle_name": "LEVINE",
"credential": "CSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-11-18",
"last_updated": "2008-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NY",
"license": "062890-1",
"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 Nov 18, 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.