Jeffrey H. Kravitz, ED.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PS005526L Issued in PA

Practice address

108 Towanda Ave
Elkins Park, PA 19027-2932

Phone

(215) 635-3011

Fax

(215) 635-3011

NPI assigned

Dec 29, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Dr. Yaacov Jeffrey Kravitz Other name

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608768000000",
    "number": "1609932904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 TOWANDA AVE",
            "city": "MELROSE PARK",
            "state": "PA",
            "postal_code": "190272932",
            "telephone_number": "215-635-3011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 TOWANDA AVE",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190272932",
            "telephone_number": "215-635-3011",
            "fax_number": "215-635-3011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAVITZ",
        "first_name": "JEFFREY",
        "middle_name": "H.",
        "name_prefix": "Dr.",
        "credential": "ED.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-29",
        "last_updated": "2020-12-24",
        "certification_date": "2020-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS005526L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN MIS NUMBER",
            "identifier": "455808000",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7035296",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YAACOV",
            "last_name": "KRAVITZ",
            "middle_name": "JEFFREY",
            "prefix": "DR.",
            "credential": "ED.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Rachel Kolman, LSW
• Natalia Paulina Kolodziej, PA-C
• Tamar Kornitzer, LMSW
• Olena Korsun, PMHNP, LPC,
• Robert A Kravis, PSY.D.
• Sara Kurtevski
• Michael J Kwasniewski, MD
• Christine Irene Kwik, MD
• Gilbert Lafontant, MD
• Sarah Elizabeth Lamberton

• Psychologist in Elkins Park, PA
• Providers in Elkins Park, PA by specialty
• Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.