Individual provider Active NPI

Elisabeth Joy Namdar, PHD

  • Clinical Psychologist
  • New York, NY
National Provider Identifier
1265372262
Registry record updated Mar 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
027837-01 Issued in NY
Practice address
138 E 112TH St Apt 6F
New York, NY 10029-2673
Phone
(518) 772-7180
NPI assigned
Mar 30, 2026
Last updated
Mar 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 027837-01 NY Primary

Addresses

Primary practice location

138 E 112TH St Apt 6F
New York, NY 10029-2673

Mailing address

138 E 112TH St Apt 6F
New York, NY 10029-2673
Phone (518) 772-7180

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Mar 30, 2026 through Mar 30, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
027837-01NYMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1774828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774828800000",
    "number": "1265372262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 E 112TH ST APT 6F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100292673",
            "telephone_number": "518-772-7180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 E 112TH ST APT 6F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100292673",
            "telephone_number": "518-772-7180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAMDAR",
        "first_name": "ELISABETH",
        "middle_name": "JOY",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-03-30",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "027837-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.