Individual provider Active NPI

Elizabeth Albrecht, PH.D.

  • Clinical Psychologist
  • Glen Head, NY
National Provider Identifier
1508922600
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
009651-1 Issued in NY
Practice address
333 Glen Head Rd Ste 205
Glen Head, NY 11545-1960
Phone
(516) 625-2967
Fax
(516) 759-5077
NPI assigned
Dec 31, 2006
Last updated
Jul 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 009651-1 NY Primary

Addresses

Primary practice location

333 Glen Head Rd Ste 205
Glen Head, NY 11545-1960

Mailing address

333 Glen Head Rd Ste 205
Glen Head, NY 11545-1960
Phone (516) 625-2967

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
I20040329000087 NY Practitioner - Clinical Psychologist 2567354152 Practice locations: Glen Head, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

333 Glen Head Rd
Suite 205
Glen Head, NY 11545-1960
Phone (516) 625-2967

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
009651-1NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
The Medical Supply Guy Inc. CurrentSince Aug 17, 2025 Accepting new patients

Locations

333 Glen Head Rd
Ste 205
Glen Head, NY 11545
Phone (516) 625-2967

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.

NPI Registry JSON

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

{
    "created_epoch": "1167523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753315200000",
    "number": "1508922600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 GLEN HEAD RD STE 205",
            "city": "GLEN HEAD",
            "state": "NY",
            "postal_code": "115451960",
            "telephone_number": "516-625-2967",
            "fax_number": "516-759-5077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 GLEN HEAD RD STE 205",
            "city": "GLEN HEAD",
            "state": "NY",
            "postal_code": "115451960",
            "telephone_number": "516-625-2967",
            "fax_number": "516-759-5077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALBRECHT",
        "first_name": "ELIZABETH",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-31",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "009651-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Head, NY

Sources for this page

Verify at the official NPI Registry.