Active NPI
Rachel Shari Liberman Czosniak, PSYD
- Clinical Psychologist
- Bronx, NY
National Provider Identifier
1477361384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 026975
- Practice address
- 1400 Pelham Pkwy S BLDG 6
Bronx, NY 10461-1119 - Phone
- (718) 918-6523
- NPI assigned
- Dec 23, 2024
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 026975 | NY | Primary |
Addresses
Primary practice location
1400 Pelham Pkwy S BLDG 6
Bronx, NY 10461-1119
Mailing address
471 Keap St Apt 3a
Brooklyn, NY 11211-3460
Phone (347) 254-2224
Other practice location 1
166 Cow Neck Rd
Port Washington, NY 11050-1117
Phone (347) 254-2224
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 |
|---|---|---|---|---|
| I20250923001371 | NY | Order and Referring Only - Clinical Psychologist | 8820593890 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 026975 | NY | MD | Speech-Language Pathologist |
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1734912000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734912000000",
"number": "1477361384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "471 KEAP ST APT 3A",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112113460",
"telephone_number": "347-254-2224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 PELHAM PKWY S BLDG 6",
"city": "BRONX",
"state": "NY",
"postal_code": "104611119",
"telephone_number": "718-918-6523"
}
],
"practiceLocations": [
{
"address_1": "166 Cow Neck Rd",
"address_purpose": "LOCATION",
"city": "Port Washington",
"state": "NY",
"postal_code": "110501117",
"country_code": "US",
"telephone_number": "347-254-2224",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CZOSNIAK",
"first_name": "RACHEL",
"middle_name": "SHARI LIBERMAN",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-12-23",
"last_updated": "2024-12-23",
"certification_date": "2024-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "026975",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.