Individual provider Active NPI

Dan L Epstein, PH.D.

  • Adult Development & Aging Psychologist
  • Hastings on Hudson, NY
National Provider Identifier
1568664217
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Development & Aging PsychologistTaxonomy code 103TA0700X
License
008166 Issued in NY
Practice address
25 S Calumet Ave
Hastings on Hudson, NY 10706-1815
Phone
(914) 478-3609
NPI assigned
Jun 4, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Development & Aging Psychologist 103TA0700X 008166 NY Primary

Addresses

Primary practice location

25 S Calumet Ave
Hastings on Hudson, NY 10706-1815

Mailing address

25 S Calumet Ave
Hastings on Hudson, NY 10706-1815
Phone (914) 478-3609

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: No
  • 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
I20070711000719 NY Practitioner - Clinical Psychologist 3577663145 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
008166NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Epstein Psychology Services PLLC Current Accepting new patients
Knapp Street Psychiatry, PC CurrentSince Sep 15, 2016 Accepting new patients
Che Senior Psychological Services, PC CurrentSince Sep 15, 2016 Accepting new patients
On-Site Psychological Services PC Past Accepting new patients

Locations

1915 Ocean Ave
Brooklyn, NY 11230
Phone (718) 258-7700

250 Beach 17th St
Far Rockaway, NY 11691
Phone (516) 670-0212

15 Monsey Blvd
Monsey, NY 10952
Phone (845) 356-3400

209 Beach 125th St
Rockaway Park, NY 11694
Phone (516) 721-7625

135 Vanderbilt Ave
Staten Island, NY 10304
Phone (718) 447-0101

Organizations & group practices 4

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": "1180915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1568664217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 S CALUMET AVE",
            "city": "HASTINGS ON HUDSON",
            "state": "NY",
            "postal_code": "107061815",
            "telephone_number": "914-478-3609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 S CALUMET AVE",
            "city": "HASTINGS ON HUDSON",
            "state": "NY",
            "postal_code": "107061815",
            "telephone_number": "914-478-3609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EPSTEIN",
        "first_name": "DAN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TA0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Adult Development & Aging",
            "state": "NY",
            "license": "008166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hastings on Hudson, NY

Sources for this page

Verify at the official NPI Registry.