Organization Active NPI

Jephtha Tausig-Edwards, PHD PLLC

  • Adult Mental Health Clinic/Center
  • New York, NY
National Provider Identifier
1588840201
Registry record updated Jan 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
016753-1 Issued in NY
Legal business name
JEPHTHA TAUSIG-EDWARDS, PHD PLLC
Practice address
295 Central Park W
Suite 2
New York, NY 10024-3008
Phone
(212) 595-9348
NPI assigned
Jan 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2008

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

Authorized official

Name
Dr. Jephtha Tausig-Edwards, PHD
Title
Psychologist
Phone
(212) 595-9348

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X 016753-1 NY Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X 016753-1 NY

Addresses

Primary practice location

295 Central Park W
Suite 2
New York, NY 10024-3008

Mailing address

295 Central Park W
Suite 2
New York, NY 10024-3008
Phone (212) 595-9348

National Provider Directory

National Provider Directory

Locations

295 Central Park W
Ofc 1
New York, NY 10024
Phone (212) 595-9348

NPI Registry JSON

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

{
    "created_epoch": "1200009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200009600000",
    "number": "1588840201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 CENTRAL PARK W",
            "address_2": "SUITE 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100243008",
            "telephone_number": "212-595-9348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 CENTRAL PARK W",
            "address_2": "SUITE 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100243008",
            "telephone_number": "212-595-9348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEPHTHA TAUSIG-EDWARDS, PHD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-11",
        "last_updated": "2008-01-11",
        "status": "A",
        "authorized_official_last_name": "TAUSIG-EDWARDS",
        "authorized_official_first_name": "JEPHTHA",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "212-595-9348",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NY",
            "license": "016753-1",
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NY",
            "license": "016753-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Jan 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.