Active NPI
Debaki Chakrabarti, PHD
- Clinical Psychologist
- New York, NY
National Provider Identifier
1659761666
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 020810
- Practice address
- 276 5TH Ave
New York, NY 10001-4509 - Phone
- (212) 683-3339
- NPI assigned
- Jan 28, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 020810 | NY | Primary |
Addresses
Primary practice location
276 5TH Ave
New York, NY 10001-4509
Mailing address
179 Mulberry St Apt 2
New York, NY 10012-4574
Phone (973) 960-1931
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250711000427 | NJ | Practitioner - Psychologist Billing Independently | 6204341134 | Practice locations: Bloomfield, NJ |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1422403200000",
"number": "1659761666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "179 MULBERRY ST APT 2",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100124574",
"telephone_number": "973-960-1931"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "276 5TH AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100014509",
"telephone_number": "212-683-3339"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAKRABARTI",
"first_name": "DEBAKI",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-01-28",
"last_updated": "2015-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "020810",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.