Active NPI
Ellen Frost, PHD
- Clinical Psychologist
- New York City, NY
National Provider Identifier
1194916338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 007268
- Practice address
- 200 East 33 St
Suite #25J
New York City, NY 10016-4874 - Phone
- (212) 725-0543
- Fax
- (212) 725-0543
- NPI assigned
- Aug 5, 2007
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 007268 | NY | Primary |
Addresses
Primary practice location
200 East 33 St
Suite #25J
New York City, NY 10016-4874
Mailing address
200 East 33 St
Suite 25J
New York City, NY 10016-4874
Phone (212) 725-0543
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007268 | NY | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1186272000000",
"number": "1194916338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 EAST 33 ST",
"address_2": "SUITE 25J",
"city": "NEW YORK CITY",
"state": "NY",
"postal_code": "100164874",
"telephone_number": "212-725-0543",
"fax_number": "212-725-0543"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 EAST 33 ST",
"address_2": "SUITE #25J",
"city": "NEW YORK CITY",
"state": "NY",
"postal_code": "100164874",
"telephone_number": "212-725-0543",
"fax_number": "212-725-0543"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FROST",
"first_name": "ELLEN",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-05",
"last_updated": "2007-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "007268",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York City, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.