Organization Active NPI

Tabitha Brandt-Tiven, PHD - Psychologist, P.C.

  • Psychologist
  • Garden City, NY
National Provider Identifier
1255153698
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
TABITHA BRANDT-TIVEN, PHD - PSYCHOLOGIST, P.C.
Practice address
111 7TH St Unit 111
Garden City, NY 11530-5709
Phone
(516) 713-3408
NPI assigned
Oct 28, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

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

Authorized official

Name
Dr. Tabitha Brandt-Tiven, PH.D.NPI 1871635011
Title
President
Phone
(516) 713-3408

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)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

111 7TH St Unit 111
Garden City, NY 11530-5709

Mailing address

1723 Utopia Pkwy
Whitestone, NY 11357-3347
Phone (516) 713-3408

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1730073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730073600000",
    "number": "1255153698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1723 UTOPIA PKWY",
            "city": "WHITESTONE",
            "state": "NY",
            "postal_code": "113573347",
            "telephone_number": "516-713-3408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 7TH ST UNIT 111",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115305709",
            "telephone_number": "516-713-3408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TABITHA BRANDT-TIVEN, PHD - PSYCHOLOGIST, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-28",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A",
        "authorized_official_last_name": "BRANDT-TIVEN",
        "authorized_official_first_name": "TABITHA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-713-3408",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; 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.