Ava Dorfman, PH.D.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

020235 Issued in NY

Practice address

200 Park Ave S Ste 1118a
New York, NY 10003-1503

Phone

(347) 916-4936

NPI assigned

Sep 13, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Westchester Faculty Psychological Associates PC

  • Psychologist
  • Valhalla, NY
  • NPI 1528080603
  NPD (past)

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

{
    "created_epoch": "1379030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516924800000",
    "number": "1609201250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 E 73RD ST APT 1F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100214431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 PARK AVE S STE 1118A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100031503",
            "telephone_number": "347-916-4936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORFMAN",
        "first_name": "AVA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-13",
        "last_updated": "2018-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "020235",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NY",
            "license": "020235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Doreen Zarfati Psychiatry PLLC
• Martine Dorelien, CRNA
• Karin Dorell, M.D.
• Alison Dorfman, LCSW
• Alla Dorfman, D.D.S
• Beth J. Dorfman, D.D.S., M.S.
• Beth Nitzberg Dorfman, M.S.S.W., L.C.S.W.
• Brittany Victoria Dorfman, MA, BCBA. LBA
• Dana Dorfman, MSW, PHD
• David Dorfman, PH.D.

• Clinical Neuropsychologist in New York, NY
• Providers in New York, NY by specialty
• Clinical Neuropsychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2018; 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.