Individual provider Active NPI

Gabrielle Schreyer-Hoffman, PSYCHOLOGIST, PH.D.

  • Psychologist
  • New York, NY
National Provider Identifier
1134680416
Registry record updated Jun 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
025473 Issued in NY
Practice address
60 E End Ave Apt 20C
New York, NY 10028-7945
Phone
(917) 773-8674
NPI assigned
Mar 28, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 0810008115 VA
Psychologist 103T00000X TPPY2282 FL
Psychologist 103T00000X 025473 NY Primary

Addresses

Primary practice location

60 E End Ave Apt 20C
New York, NY 10028-7945

Mailing address

60 E End Ave Apt 20C
New York, NY 10028-7945
Phone (917) 773-8674

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Oct 24, 2023 through Oct 24, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
TPPY2282FLMDPsychologist
0810008115VAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Upper East Side Psychology Psychologist CurrentSince Apr 16, 2023 Accepting new patients

Locations

157 E 86th St
Ste 567
New York, NY 10028

1202 Lexington Ave
#176
New York, NY 10028

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1553731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686614400000",
    "number": "1134680416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 E END AVE APT 20C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100287945",
            "telephone_number": "917-773-8674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 E END AVE APT 20C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100287945",
            "telephone_number": "917-773-8674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHREYER-HOFFMAN",
        "first_name": "GABRIELLE",
        "name_prefix": "Dr.",
        "credential": "PSYCHOLOGIST, PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-28",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "VA",
            "license": "0810008115",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "TPPY2282",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "025473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.