Elisa Antoinette Livanos, PH.D.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

020922 Issued in NY

Practice address

1430 Broadway
Suite 304
New York, NY 10018-9226

Phone

(212) 840-8410

Fax

(212) 840-8415

NPI assigned

Dec 5, 2014

Last updated

Jan 19, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Psychologist

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Behavioral and Neuropsychological Consultants, LLPGroup PAC ID 4789589409, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Behavioral and Neuropsychological Consultants, LLP

  • Clinical Psychologist
  • New York, NY
  • NPI 1205895570
  Medicare reassignment Care Compare group NPD
• North Shore-Lij Medical PC

  dba NHPP Cardiology at Great Neck

  • Urology Physician
  • Great Neck, NY
  • NPI 1053688572
  Medicare reassignment NPD
• Behavioral and Neuropsychological Consultants, LLP

  • Clinical Neuropsychologist
  • New York, NY
  • NPI 1730454463
  NPD (past)

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

{
    "created_epoch": "1417737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516320000000",
    "number": "1679971782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 BROADWAY",
            "address_2": "SUITE 304",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100189226",
            "telephone_number": "212-840-8410",
            "fax_number": "212-840-8415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 BROADWAY",
            "address_2": "SUITE 304",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100189226",
            "telephone_number": "212-840-8410",
            "fax_number": "212-840-8415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIVANOS",
        "first_name": "ELISA",
        "middle_name": "ANTOINETTE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-05",
        "last_updated": "2018-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NY",
            "license": "020922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yufei Liu
• Yuxin Liu, MD
• Zhaonan Liu
• Zoe Zhechun Liu, M.D.
• Alexandra Livanos, MD, PHD
• Katrina Livanos
• Live 4 the Drip LLC
• Live Well Counseling LLC
• Paul D Live, ATC
• Nicole Livescu, NP

• Clinical Neuropsychologist in New York, NY
• Providers in New York, NY by specialty
• Clinical Neuropsychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2018; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.