Individual provider Active NPI

Linda Tafapolsky, PSY.D.

  • Clinical Psychologist
  • Garrison, NY
National Provider Identifier
1174778997
Registry record updated Nov 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
9251-1 Issued in NY
Practice address
36 Manitou Woods
Garrison, NY 10524-3001
Phone
(914) 523-1825
Fax
(845) 424-3702
NPI assigned
Nov 20, 2008
Last updated
Nov 20, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 9251-1 NY Primary

Addresses

Primary practice location

36 Manitou Woods
Garrison, NY 10524-3001

Mailing address

36 Manitou Woods
Garrison, NY 10524-3001
Phone (914) 523-1825

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090720000237 NY Practitioner - Clinical Psychologist 9830241033 Reassigns benefits to 2 organizations
Practice locations: Garrison, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Che Senior Psychological Services, PCGroup PAC ID 8022905314, 227 clinicians

Practice addresses (Care Compare)

135 Vanderbilt Ave
Staten Island, NY 10304-2604
Phone (800) 275-3243

36 Manitou Woods
Garrison, NY 10524-3001
Phone (914) 523-1825

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9251-1NYMDClinical Psychologist
009251NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Che Senior Psychological Services, PC Clinical CurrentSince Jun 5, 2013 Accepting new patients
Knapp Street Psychiatry, PC Clinical CurrentSince Jun 5, 2013 Accepting new patients

Locations

1915 Ocean Ave
Brooklyn, NY 11230
Phone (718) 258-7700

1280 Albany Post Rd
Croton on Hudson, NY 10520
Phone (914) 271-5151

250 Beach 17th St
Far Rockaway, NY 11691
Phone (516) 670-0212

209 Beach 125th St
Rockaway Park, NY 11694
Phone (516) 721-7625

135 Vanderbilt Ave
Staten Island, NY 10304
Phone (718) 447-0101

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1227139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227139200000",
    "number": "1174778997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 MANITOU WOODS",
            "city": "GARRISON",
            "state": "NY",
            "postal_code": "105243001",
            "telephone_number": "914-523-1825",
            "fax_number": "845-424-3702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 MANITOU WOODS",
            "city": "GARRISON",
            "state": "NY",
            "postal_code": "105243001",
            "telephone_number": "914-523-1825",
            "fax_number": "845-424-3702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAFAPOLSKY",
        "first_name": "LINDA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-20",
        "last_updated": "2008-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "9251-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garrison, NY

Sources for this page

Verify at the official NPI Registry.