Active NPI
Risa Tabacoff
- Psychologist
- Bedford Hills, NY
National Provider Identifier
1265120679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 016728
- Practice address
- 83 Adams St
Bedford Hills, NY 10507-1819 - Phone
- (914) 441-9505
- Fax
- (914) 666-7687
- NPI assigned
- Apr 25, 2023
- Last updated
- Apr 25, 2023
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 016728 | NY | Primary |
Addresses
Primary practice location
83 Adams St
Bedford Hills, NY 10507-1819
Mailing address
83 Adams St
Bedford Hills, NY 10507-1819
Phone (914) 441-9505
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 016728 | NY | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682380800000",
"number": "1265120679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "83 ADAMS ST",
"city": "BEDFORD HILLS",
"state": "NY",
"postal_code": "105071819",
"telephone_number": "914-441-9505",
"fax_number": "914-666-7687"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "83 ADAMS ST",
"city": "BEDFORD HILLS",
"state": "NY",
"postal_code": "105071819",
"telephone_number": "914-441-9505",
"fax_number": "914-666-7687"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TABACOFF",
"first_name": "RISA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-04-25",
"last_updated": "2023-04-25",
"certification_date": "2023-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "016728",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bedford Hills, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.