Active NPI
Atiyana Ivy
- Social Worker
- Binghamton, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 275 Chenango St
Binghamton, NY 13901-2312 - Phone
- (607) 304-5521
- NPI assigned
- Jun 14, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
275 Chenango St
Binghamton, NY 13901-2312
Mailing address
275 Chenango St
Binghamton, NY 13901-2312
Other practice location 1
33 Main St
Oneonta, NY 13820-2518
Phone (607) 433-1714
Other practice location 2
242 Main St
Oneonta, NY 13820-2527
Phone (607) 433-2334
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
300 Cadman PLZ W
Brooklyn, NY 11201-3211
Phone (888) 515-3834
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Knapp Street Psychiatry, PC | Current | Accepting new patients | |
| Che Senior Psychological Services, PC | Current | Accepting new patients |
Locations
1915 Ocean Ave
Brooklyn, NY 11230
Phone (718) 258-7700
2433 Knapp St
Ste 306
Brooklyn, NY 11235
250 Beach 17th St
Far Rockaway, NY 11691
Phone (516) 670-0212
209 Beach 125th St
Rockaway Park, NY 11694
Phone (516) 721-7625
135 Vanderbilt Ave
Staten Island, NY 10304
Phone (718) 447-0101
Interoperability endpoints
- atiyana.ivy@489656322949124.direct.elationemr.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Psychologist
- Brooklyn, NY
- NPI 1023078219
-
- Clinical Psychologist
- Brooklyn, NY
- NPI 1043248776
-
- Mental Health Counselor
- Endicott, NY
- NPI 1467520080
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681862400000",
"number": "1386212637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "275 CHENANGO ST",
"city": "BINGHAMTON",
"state": "NY",
"postal_code": "139012312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "275 CHENANGO ST",
"city": "BINGHAMTON",
"state": "NY",
"postal_code": "139012312",
"telephone_number": "607-304-5521"
}
],
"practiceLocations": [
{
"address_1": "33 Main St",
"address_purpose": "LOCATION",
"city": "Oneonta",
"state": "NY",
"postal_code": "138202518",
"country_code": "US",
"telephone_number": "607-433-1714",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "242 Main St",
"address_purpose": "LOCATION",
"city": "Oneonta",
"state": "NY",
"postal_code": "138202527",
"country_code": "US",
"telephone_number": "607-433-2334",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "IVY",
"first_name": "ATIYANA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-06-14",
"last_updated": "2023-04-19",
"certification_date": "2023-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Binghamton, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.