Organization Active NPI

Elyse Kupperman Chaifetz, PH.D. Psychologist PLLC

  • Psychologist
  • New York, NY
National Provider Identifier
1619517430
Registry record updated Jan 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
ELYSE KUPPERMAN CHAIFETZ, PH.D. PSYCHOLOGIST PLLC
Doing business as
Elyse Kupperman Chaifetz, Ph.D. Psychologist PLLC
Practice address
16 E 41St St Ste 5E
New York, NY 10017-6217
Phone
(917) 473-3086
NPI assigned
Jan 9, 2020
Last updated
Jan 9, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2020

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

Authorized official

Name
Elyse Chaifetz, PHDNPI 1780018481
Title
Owner
Phone
(917) 473-3086

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X Primary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X

Addresses

Primary practice location

16 E 41St St Ste 5E
New York, NY 10017-6217

Mailing address

16 E 41St St Ste 5E
New York, NY 10017-6217

Other identifiers 2

IdentifierTypeStateIssuer
1780018481OtherELYSE CHAIFETZ
1184074866OtherILANA ROSENBERG

Other names 1

  • Elyse Kupperman Chaifetz, Ph.D. Psychologist PLLC Doing business as

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL drekupperman@gmail.com
CONNECT URL drekupperman@gmail.com

National Provider Directory

National Provider Directory

Locations

16 E 41st St
Ste 5E
New York, NY 10017
Phone (646) 765-3696

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1578528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578528000000",
    "number": "1619517430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 E 41ST ST STE 5E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100176217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 E 41ST ST STE 5E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100176217",
            "telephone_number": "917-473-3086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELYSE KUPPERMAN CHAIFETZ, PH.D. PSYCHOLOGIST PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-09",
        "last_updated": "2020-01-09",
        "certification_date": "2020-01-09",
        "status": "A",
        "authorized_official_last_name": "CHAIFETZ",
        "authorized_official_first_name": "ELYSE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-473-3086",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ELYSE CHAIFETZ",
            "identifier": "1780018481",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ILANA ROSENBERG",
            "identifier": "1184074866",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "drekupperman@gmail.com",
            "affiliation": "N",
            "address_1": "16 E 41st St Ste 5E",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100176217",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "drekupperman@gmail.com",
            "affiliation": "N",
            "endpointDescription": "drekupperman@gmail.com",
            "address_1": "16 E 41st St Ste 5E",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100176217",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Elyse Kupperman Chaifetz, Ph.D. Psychologist PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 9, 2020; 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.