Organization Active NPI

Dr. Orenbakh, Psychologist, P.C.

  • Clinical Psychologist
  • Valley Stream, NY
National Provider Identifier
1609063866
Registry record updated May 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
014896 Issued in NY
Legal business name
DR. ORENBAKH, PSYCHOLOGIST, P.C.
Practice address
853 Talbot Ave
Valley Stream, NY 11581-3111
Phone
(516) 812-9353
NPI assigned
Oct 1, 2007
Last updated
May 2, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2008

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

Authorized official

Name
Dr. Grigory Orenbakh, PH. D.
Title
Owner
Phone
(516) 812-9353

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 014896 NY Primary

Addresses

Primary practice location

853 Talbot Ave
Valley Stream, NY 11581-3111

Mailing address

853 Talbot Ave
Valley Stream, NY 11581-3111
Phone (516) 812-9353

Other identifiers 3

IdentifierTypeStateIssuer
02204608MedicaidNY
08342GOtherNYGHI MEDICARE
P2664536OtherNYOXFORD

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1191196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209686400000",
    "number": "1609063866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "853 TALBOT AVE",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115813111",
            "telephone_number": "516-812-9353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "853 TALBOT AVE",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115813111",
            "telephone_number": "516-812-9353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. ORENBAKH, PSYCHOLOGIST, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-01",
        "last_updated": "2008-05-02",
        "status": "A",
        "authorized_official_last_name": "ORENBAKH",
        "authorized_official_first_name": "GRIGORY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-812-9353",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH. D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "014896",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02204608",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI MEDICARE",
            "identifier": "08342G",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P2664536",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Stream, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.