Organization Active NPI

Ellis I Barowsky PHD Psychologist PLLC

  • Clinical Psychologist
  • New City, NY
National Provider Identifier
1376096818
Registry record updated Aug 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
ELLIS I BAROWSKY PHD PSYCHOLOGIST PLLC
Practice address
339 N Main St
New City, NY 10956-4300
Phone
(845) 608-3288
Fax
(845) 323-4927
NPI assigned
Aug 2, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2016

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

Authorized official

Name
Dr. Ellis I Barowsky, PH.DNPI 1538227020
Title
Sole Proprietor
Phone
(845) 608-3288

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
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

339 N Main St
New City, NY 10956-4300

Mailing address

9 Nob Hill Rd
New City, NY 10956-1916
Phone (845) 634-2764

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160819001071 NY Part B Supplier - Clinic/Group Practice 8527353234 Receives reassigned benefits from 1 practitioner
Practice locations: New City, NY

National Provider Directory

National Provider Directory

Locations

339 N Main St
Ste 4
New City, NY 10956
Phone (845) 587-1500

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": "1470096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470096000000",
    "number": "1376096818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 NOB HILL RD",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109561916",
            "telephone_number": "845-634-2764",
            "fax_number": "845-323-4927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "339 N MAIN ST",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109564300",
            "telephone_number": "845-608-3288",
            "fax_number": "845-323-4927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLIS I BAROWSKY PHD PSYCHOLOGIST PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-02",
        "last_updated": "2016-08-02",
        "status": "A",
        "authorized_official_last_name": "BAROWSKY",
        "authorized_official_first_name": "ELLIS",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "845-608-3288",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.