Dvora B Efrat, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

68017276 Issued in NY

Practice address

920 Broadway FL 8
New York, NY 10010-8013

Phone

(646) 610-3056

NPI assigned

Sep 27, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• On-Site Psychological Services PC

  • Clinical Psychologist
  • Ridgefield, CT
  • NPI 1992807887
  NPD (past)

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

{
    "created_epoch": "1190851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190851200000",
    "number": "1174710784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 BROADWAY FL 8",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100108013",
            "telephone_number": "646-610-3056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 BROADWAY FL 8",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100108013",
            "telephone_number": "646-610-3056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EFRAT",
        "first_name": "DVORA",
        "middle_name": "B",
        "name_prefix": "Mrs.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-27",
        "last_updated": "2007-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "68017276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin John Eerkes, M.D.
• Muneer Eesa, MD
• Gloria Effah
• Alexa Effron, LMSW
• Leigh Ellen Efird, PHARMD
• Noia Camille Efrat
• Tamar Michaela Efrat, EDD, LP
• Harold Joseph Efron, DMD
• Eleni Efstathiadis, DO
• Maria Efstathiadis

• Clinical Psychologist in New York, NY
• Providers in New York, 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 Sep 27, 2007; 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.