Active NPI
Cognitive Behavioral Associates, LLP
- Cognitive & Behavioral Psychologist
- Great Neck, NY
National Provider Identifier
1184896417
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cognitive & Behavioral Psychologist
- License
- 012978
- Legal business name
- COGNITIVE BEHAVIORAL ASSOCIATES, LLP
- Practice address
- 29 Barstow Rd Ste 304
Great Neck, NY 11021-2209 - Phone
- (516) 858-4328
- NPI assigned
- Mar 27, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ruth Reed Derosa, PH.D.
- Title
- Co-Director
- Phone
- (516) 858-4328
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cognitive & Behavioral Psychologist | 103TB0200X | 012978 | NY | Primary |
Addresses
Primary practice location
29 Barstow Rd Ste 304
Great Neck, NY 11021-2209
Mailing address
29 Barstow Rd Ste 304
Great Neck, NY 11021-2209
Phone (516) 858-4328
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Oct 19, 2016 through Oct 19, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Locations
60 Cuttermill Rd
Ste 404
Great Neck, NY 11021
Phone (516) 858-4328
29 Barstow Rd
Ste 304
Great Neck, NY 11021
Phone (516) 220-8753
Practitioners & affiliated clinicians
Practitioners 10
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Psychologist
- Smithtown, NY
- NPI 1538290531
-
- Psychologist
- Great Neck, NY
- NPI 1699299883
-
- Clinical Psychologist
- Great Neck, NY
- NPI 1164393492
-
- Clinical Psychologist
- Glen Oaks, NY
- NPI 1003484635
-
- Psychologist
- Great Neck, NY
- NPI 1609546167
-
- Clinical Psychologist
- Great Neck, NY
- NPI 1972069292
-
- Clinical Psychologist
- New York, NY
- NPI 1063079168
-
- Clinical Psychologist
- Great Neck, NY
- NPI 1568084234
-
- Clinical Psychologist
- Bronx, NY
- NPI 1619286432
-
- Clinical Psychologist
- Great Neck, NY
- NPI 1790656247
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206576000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1206576000000",
"number": "1184896417",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29 BARSTOW RD STE 304",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "110212209",
"telephone_number": "516-858-4328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29 BARSTOW RD STE 304",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "110212209",
"telephone_number": "516-858-4328"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COGNITIVE BEHAVIORAL ASSOCIATES, LLP",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-27",
"last_updated": "2008-03-27",
"status": "A",
"authorized_official_last_name": "DEROSA",
"authorized_official_first_name": "RUTH",
"authorized_official_middle_name": "REED",
"authorized_official_title_or_position": "CO-DIRECTOR",
"authorized_official_telephone_number": "516-858-4328",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "103TB0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "NY",
"license": "012978",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Great Neck, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.