Individual provider Active NPI

Rebecca Oakes, PH.D.

  • Psychologist
  • Brooklyn, NY
National Provider Identifier
1639307523
Registry record updated Jun 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
017517-1 Issued in NY
Practice address
505 Court St Apt 6P
Brooklyn, NY 11231-3952
Phone
(347) 683-6141
NPI assigned
Jun 30, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 017517-1 NY Primary

Addresses

Primary practice location

505 Court St Apt 6P
Brooklyn, NY 11231-3952

Mailing address

505 Court St Apt 6P
Brooklyn, NY 11231-3952
Phone (347) 683-6141

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20180919000988 NY Practitioner - Clinical Psychologist 6709137482 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bandl Cognitive Behavioral Psychology PLLCGroup PAC ID 1153470828, 7 clinicians

Practice addresses (Care Compare)

165 N Village Ave
Rockville Centre, NY 11570-3701
Phone (516) 665-9669

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
017517NYMDAddiction (Substance Use Disorder) Counselor
017517-1NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
B&L Cognitive Behavioral Psychology PLLC CurrentSince Aug 9, 2018 Accepting new patients

Locations

165 N Village Ave
Ste 216
Rockville Ctr, NY 11570
Phone (516) 665-9669

400 Montauk Hwy
Ste 112
West Islip, NY 11795
Phone (631) 321-7107

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1246320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246320000000",
    "number": "1639307523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 COURT ST APT 6P",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112313952",
            "telephone_number": "347-683-6141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 COURT ST APT 6P",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112313952",
            "telephone_number": "347-683-6141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OAKES",
        "first_name": "REBECCA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-30",
        "last_updated": "2009-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "017517-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.