Active NPI
Tracey Bassett-Tanz
- Psychologist
- New York, NY
National Provider Identifier
1578680443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 018366
- Practice address
- 3 E 85TH St
New York, NY 10028-0417 - Phone
- (212) 734-0506
- NPI assigned
- Mar 23, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 018366 | Primary |
Addresses
Primary practice location
3 E 85TH St
New York, NY 10028-0417
Mailing address
305 E 88TH St Apt 6a
New York, NY 10128-4912
Phone (559) 816-2882
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285628552 | Other | OTHER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fifth Avenue Psychiatry Associates, PLLC | Current | Accepting new patients |
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.
-
- Psychiatry Physician
- New York, NY
- NPI 1669178596
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644364800000",
"number": "1578680443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "305 E 88TH ST APT 6A",
"city": "NEW YORK",
"state": "NY",
"postal_code": "101284912",
"telephone_number": "559-816-2882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 E 85TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100280417",
"telephone_number": "212-734-0506"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BASSETT-TANZ",
"first_name": "TRACEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-23",
"last_updated": "2022-02-09",
"certification_date": "2022-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": "018366",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER",
"identifier": "1285628552",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.