Ilana Michelle Breslau, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

15484-1 Issued in NY

Practice address

2 W 86TH St
Suite #503
New York, NY 10024-3666

Phone

(917) 821-2460

NPI assigned

Oct 10, 2006

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Networks

• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255429981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 COLUMBUS AVE",
            "address_2": "APT 10J",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100256464",
            "telephone_number": "212-749-3061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 W 86TH ST",
            "address_2": "SUITE #503",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100243666",
            "telephone_number": "917-821-2460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRESLAU",
        "first_name": "ILANA",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "15484-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Brenzel
• Andrea Brescia, MD
• Julianne D Bresciani, LCSW
• Ivan Bresgi, PH.D.
• Linda Breskin, PH.D.
• Sherry D Breslau, PH.D.
• Samantha Breslauer
• Shelley Breslauer, M.S., CCC-SLP
• Jerome Samuel Breslaw, M.D.
• Jill Allison Bresler, PH.D.

• Psychologist in New York, NY
• Providers in New York, NY by specialty
• Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.