Active NPI
Claudia Habib, PH.D.
- Clinical Psychologist
- Brooklyn, NY
National Provider Identifier
1568961167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 021669
- Practice address
- 8000 4TH Ave Apt 118
Brooklyn, NY 11209-3950 - Phone
- (718) 833-8136
- Fax
- (718) 833-1016
- NPI assigned
- Feb 8, 2018
- Last updated
- Feb 8, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 021669 | NY | Primary |
Addresses
Primary practice location
8000 4TH Ave Apt 118
Brooklyn, NY 11209-3950
Mailing address
788 Todt Hill Rd
Staten Island, NY 10304-1327
Phone (732) 666-5671
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180605000796 | NY | Practitioner - Clinical Psychologist | 4981969490 | Practice locations: Staten Island, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
90 Gansevoort Blvd
Staten Island, NY 10314-4026
Phone (732) 666-5671
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1518048000000",
"number": "1568961167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "788 TODT HILL RD",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103041327",
"telephone_number": "732-666-5671"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8000 4TH AVE APT 118",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112093950",
"telephone_number": "718-833-8136",
"fax_number": "718-833-1016"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HABIB",
"first_name": "CLAUDIA",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-02-08",
"last_updated": "2018-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "021669",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2018; 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.