Individual provider Active NPI

Penny Massoth-Beckman, PSY.D.

  • School Psychologist
  • White Plains, NY
National Provider Identifier
1396123634
Registry record updated May 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
954675991 Issued in NY
Practice address
333 Westchester Ave
Suite 202
White Plains, NY 10604-2910
Phone
(914) 328-2868
Fax
(914) 328-2973
NPI assigned
May 6, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X 954675991 NY Primary

Addresses

Primary practice location

333 Westchester Ave
Suite 202
White Plains, NY 10604-2910

Mailing address

144 Longview Ave
White Plains, NY 10605-2314
Phone (917) 922-0082

Other names 1

  • Dr. Penny Massoth Beckman Other name

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

LicenseStateTypeSpecialty
954675991NYMDSchool Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1430870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559260800000",
    "number": "1396123634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 LONGVIEW AVE",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106052314",
            "telephone_number": "917-922-0082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 WESTCHESTER AVE",
            "address_2": "SUITE 202",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106042910",
            "telephone_number": "914-328-2868",
            "fax_number": "914-328-2973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSOTH-BECKMAN",
        "first_name": "PENNY",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-06",
        "last_updated": "2019-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "NY",
            "license": "954675991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PENNY",
            "last_name": "BECKMAN",
            "middle_name": "MASSOTH",
            "prefix": "DR.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in White Plains, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.