Individual provider Active NPI

Rachel J Kleinman, PSY.D.

  • Clinical Psychologist
  • New York, NY
National Provider Identifier
1558635615
Registry record updated Mar 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
019510 Issued in NY
Practice address
101 W 73Rd St
#1A
New York, NY 10023-2920
Phone
(917) 543-5750
NPI assigned
Mar 6, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2012

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 019510 NY Primary

Addresses

Primary practice location

101 W 73Rd St
#1A
New York, NY 10023-2920

Mailing address

101 W 73Rd St
#1A
New York, NY 10023-2920
Phone (917) 543-5750

Other names 1

  • Rachel J Snyder Former name

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
I20120423000652 NY Practitioner - Clinical Psychologist 9032370820 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2008
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1 Barstow Rd
Suite P10
Great Neck, NY 11021-3501
Phone (917) 543-5750

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
019510NYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Rachel Kleinman PSYD PLLC Clinical CurrentSince Jun 13, 2017 Accepting new patients

Locations

1 Barstow Rd
Ste P24
Great Neck, NY 11021
Phone (516) 477-2430

1 Barstow Rd
Ste P10
Great Neck, NY 11021
Phone (516) 466-4114

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1330992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330992000000",
    "number": "1558635615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W 73RD ST",
            "address_2": "#1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100232920",
            "telephone_number": "917-543-5750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W 73RD ST",
            "address_2": "#1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100232920",
            "telephone_number": "917-543-5750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEINMAN",
        "first_name": "RACHEL",
        "middle_name": "J",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-06",
        "last_updated": "2012-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "019510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "SNYDER",
            "middle_name": "J",
            "credential": "PSY.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.