Individual provider Active NPI

Deborah Helen Elkind, PSY.D

  • Psychologist
  • Bronx, NY
National Provider Identifier
1669948469
Registry record updated Oct 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
008794 Issued in NY
Practice address
170 Brown PL FL 4
Bronx, NY 10454-4140
Phone
(917) 485-7161
NPI assigned
Oct 18, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 008794 NY Primary

Addresses

Primary practice location

170 Brown PL FL 4
Bronx, NY 10454-4140

Mailing address

170 Brown PL FL 4
Bronx, NY 10454-4140
Phone (917) 485-7161

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
I20241108003152 NY Practitioner - Clinical Psychologist 2769916089

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1539820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539820800000",
    "number": "1669948469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 BROWN PL FL 4",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104544140",
            "telephone_number": "917-485-7161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 BROWN PL FL 4",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104544140",
            "telephone_number": "917-485-7161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELKIND",
        "first_name": "DEBORAH",
        "middle_name": "HELEN",
        "name_prefix": "Dr.",
        "credential": "PSY.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-18",
        "last_updated": "2018-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "008794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.