Elizabeth Ann Roness, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

011614-1 Issued in NY

Practice address

144 Grove Ave
Cedarhurst, NY 11516-2315

Phone

(718) 820-6417

NPI assigned

Jan 15, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Clinical Psychologist

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

South Shore Psychological Services PLLCGroup PAC ID 2365331824, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• South Shore Psychological Services PLLC

  • Psychologist
  • Cedarhurst, NY
  • NPI 1770680472
  Medicare reassignment Care Compare group NPD
• Integrated Health Resources, LLC

  • Clinical Psychologist
  • Brooklyn, NY
  • NPI 1083771042
  NPD (past)
• MHSP,Inc

  • Clinical Psychologist
  • Brooklyn, NY
  • NPI 1023049723
  NPD (past)
• R.P.P., Inc.

  • Clinical Psychologist
  • Jackson Heights, NY
  • NPI 1306933767
  NPD (past)

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245456000000",
    "number": "1568513968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1452 GIPSON ST",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116912305",
            "telephone_number": "718-471-8329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 GROVE AVE",
            "city": "CEDARHURST",
            "state": "NY",
            "postal_code": "115162315",
            "telephone_number": "718-820-6417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RONESS",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-15",
        "last_updated": "2009-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "011614-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE HEALTHCHOICE",
            "identifier": "VM3101",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01592841",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Howard Eugene Rifkin, MD
• Meir Rizel, LMHC
• Robert M Fried DPM
• Jennifer Rojas
• Vanessa Patricia Roldan
• Rachel Rose
• Alan Rosen, D.D.S.
• Sharon Rosen
• David Rosenberg, MD
• Laura Rosenberg, PT,DPT

• Clinical Psychologist in Cedarhurst, NY
• Providers in Cedarhurst, 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 20, 2009; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.