Rebecca Block PHD Psychologist PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

REBECCA BLOCK PHD PSYCHOLOGIST PLLC

Practice address

165 Madison Ave FL 15
New York, NY 10016-5431

Phone

(917) 714-5480

NPI assigned

Jun 6, 2017

Organization subpart

No

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

Authorized official

Name

Rebecca Block, PHDNPI 1659646503

Title

Sole Owner

Phone

(917) 714-5480

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rebecca Block, PHD

  • Clinical Psychologist
  • New York, NY
  • NPI 1659646503
  NPD Authorized official

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

{
    "created_epoch": "1496707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1496707200000",
    "number": "1497284236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 MADISON AVE FL 15",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100165431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 MADISON AVE FL 15",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100165431",
            "telephone_number": "917-714-5480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBECCA BLOCK PHD PSYCHOLOGIST PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-06",
        "last_updated": "2017-06-06",
        "status": "A",
        "authorized_official_last_name": "BLOCK",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "917-714-5480",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theresa Reavis, LPN
• Tiffany Brook Reavis, D.O., F.A.C.O.S
• Sarah A Rebal, N.P.
• Andrei Rebarber, M.D.
• Rebecca Baxt, M.D., PC
• Rebecca J. Kurth, MD, Facp, PC
• Rebecca Kennedy, PH.D. Psychology PLLC
• Rebecca Kleinerman, M.D., P.L.L.C.
• Rebecca Nachamie MD LLC
• Rebecca School

• Clinical Psychologist in New York, NY
• Providers in New York, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2017; 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.