Active NPI
Yassaman Gidfar, M.A.
- Psychologist
- Elmhurst, NY
National Provider Identifier
1396936001
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Practice address
- 8708 Justice Ave
Suite C7
Elmhurst, NY 11373-4575 - Phone
- (718) 899-9810
- Fax
- (718) 899-9699
- NPI assigned
- Aug 7, 2007
- Last updated
- Aug 7, 2007
- 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 | NU | Primary |
Addresses
Primary practice location
8708 Justice Ave
Suite C7
Elmhurst, NY 11373-4575
Mailing address
201 E 20TH St
Apt. 6-B
New York, NY 10003-1839
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
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Child Center of Ny | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Adolescent and Children Mental Health Clinic/Center
- Elmhurst, NY
- NPI 1306096995
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1186444800000",
"number": "1396936001",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 E 20TH ST",
"address_2": "APT. 6-B",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100031839"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8708 JUSTICE AVE",
"address_2": "SUITE C7",
"city": "ELMHURST",
"state": "NY",
"postal_code": "113734575",
"telephone_number": "718-899-9810",
"fax_number": "718-899-9699"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIDFAR",
"first_name": "YASSAMAN",
"credential": "M.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-07",
"last_updated": "2007-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elmhurst, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.