Jill H Rathus, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

012595 Issued in NY

Practice address

60 Cuttermill Rd Ste 404
Great Neck, NY 11021-3104

Phone

(516) 858-4328

NPI assigned

May 15, 2020

Last updated

May 15, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Oct 24, 2016 through Oct 24, 2026

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

Practice roles

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.

• Cognitive Behavioral Associates, LLP

  • Cognitive & Behavioral Psychologist
  • Great Neck, NY
  • NPI 1184896417

  Clinical

  NPD (past)

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

{
    "created_epoch": "1589500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589500800000",
    "number": "1568084234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 CUTTERMILL RD STE 404",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110213104",
            "telephone_number": "516-858-4328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 CUTTERMILL RD STE 404",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110213104",
            "telephone_number": "516-858-4328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RATHUS",
        "first_name": "JILL",
        "middle_name": "H",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-15",
        "last_updated": "2020-05-15",
        "certification_date": "2020-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "012595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randy D Makovsky MD PC
• Stacey Rapp
• Elisa M Rappoport
• Isabella Rebecca Rastegar
• Divya Rathish, NP
• Sanford Miles Ratner, M.D.
• Howard Rattner, MD
• Dipti Raval
• Marc Raybin, LCSW
• Mamunur Rayhan, FNP-BC

• Clinical Psychologist in Great Neck, NY
• Providers in Great Neck, 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 May 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.