Individual provider Active NPI

Rachel Beth Leiderman, PHD

  • Psychologist
  • Bellmore, NY
National Provider Identifier
1447418868
Registry record updated Jun 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
015204 Issued in NY
Practice address
2442 Bellmore Ave
Bellmore, NY 11710-4302
Phone
(516) 781-7007
Fax
(516) 546-6172
NPI assigned
Jun 2, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 015204 NY Primary

Addresses

Primary practice location

2442 Bellmore Ave
Bellmore, NY 11710-4302

Mailing address

2442 Bellmore Ave
Bellmore, NY 11710-4302
Phone (516) 781-7007

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150428000067 NY Practitioner - Clinical Psychologist 4880913714 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alan Winder Psychological Services PCGroup PAC ID 3678726353, 2 clinicians

Practice addresses (Care Compare)

155 Dean St
Brooklyn, NY 11217-2213
Phone (718) 534-0689

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
015204NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Knapp Street Psychiatry, PC CurrentSince Dec 25, 2020 Accepting new patients
Che Senior Psychological Services, PC CurrentSince Dec 25, 2020 Accepting new patients
Alan Winder Psychological Services PC CurrentSince Mar 1, 2015 Accepting new patients

Locations

1915 Ocean Ave
Brooklyn, NY 11230
Phone (718) 258-7700

155 Dean St
Brooklyn, NY 11217
Phone (718) 694-6700

315 Beach 9th St
Far Rockaway, NY 11691
Phone (516) 833-7469

250 Beach 17th St
Far Rockaway, NY 11691
Phone (516) 670-0212

11915 27th Ave
Flushing, NY 11354
Phone (631) 681-4754

645 W Broadway
Long Beach, NY 11561
Phone (516) 431-4400

209 Beach 125th St
Rockaway Park, NY 11694
Phone (516) 721-7625

135 Vanderbilt Ave
Staten Island, NY 10304
Phone (718) 447-0101

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.

NPI Registry JSON

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

{
    "created_epoch": "1212364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212364800000",
    "number": "1447418868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2442 BELLMORE AVE",
            "city": "BELLMORE",
            "state": "NY",
            "postal_code": "117104302",
            "telephone_number": "516-781-7007",
            "fax_number": "516-546-6172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2442 BELLMORE AVE",
            "city": "BELLMORE",
            "state": "NY",
            "postal_code": "117104302",
            "telephone_number": "516-781-7007",
            "fax_number": "516-546-6172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEIDERMAN",
        "first_name": "RACHEL",
        "middle_name": "BETH",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-02",
        "last_updated": "2008-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "015204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellmore, NY

Sources for this page

Verify at the official NPI Registry.