Active NPI
Ellen Schor-Haimoff, PH.D
- Professional Counselor
- New York, NY
National Provider Identifier
1467578013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 006418-1
- Practice address
- 105 W 55TH St
Suite LF
New York, NY 10019 - Phone
- (212) 477-4627
- NPI assigned
- Mar 22, 2007
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 006418-1 | NY | Primary |
Addresses
Primary practice location
105 W 55TH St
Suite LF
New York, NY 10019
Mailing address
105 W 55TH St
Suite LF
New York, NY 10019-5303
Phone (212) 477-4627
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100305000009 | NY | Practitioner - Clinical Psychologist | 8820133580 | Practice locations: Atlantic Beach, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
145 Acapulco St
Atlantic Beach, NY 11509-1103
Phone (516) 353-3254
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006428 | NY | MD | Mental Health Counselor |
| 006418-1 | NY | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526256000000",
"number": "1467578013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 W 55TH ST",
"address_2": "SUITE LF",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100195303",
"telephone_number": "212-477-4627"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 W 55TH ST",
"address_2": "SUITE LF",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10019",
"telephone_number": "212-477-4627"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHOR-HAIMOFF",
"first_name": "ELLEN",
"name_prefix": "Dr.",
"credential": "PH.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-22",
"last_updated": "2018-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NY",
"license": "006418-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2018; 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.