Organization Active NPI

New Beginnings Psychology, LLC.

  • Psychologist
  • Huntington, NY
National Provider Identifier
1689872608
Registry record updated Jun 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
013873-1 Issued in NY
Legal business name
NEW BEGINNINGS PSYCHOLOGY, LLC.
Practice address
775 Park Ave
Suite 356
Huntington, NY 11743-3976
Phone
(631) 784-7761
Fax
(631) 784-7831
NPI assigned
Jul 11, 2007
Last updated
Jun 16, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2011

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

Authorized official

Name
Risa Levenson, PH.D.NPI 1073634259
Title
Director
Phone
(631) 784-7761

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 013873-1 NY Primary

Addresses

Primary practice location

775 Park Ave
Suite 356
Huntington, NY 11743-3976

Mailing address

775 Park Ave
Suite 356
Huntington, NY 11743-3976
Phone (631) 784-7761

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110719000223 NY Part B Supplier - Clinic/Group Practice 7012185036 Receives reassigned benefits from 3 practitioners
Practice locations: Sound Beach, NY; Huntington, NY

National Provider Directory

National Provider Directory

Locations

6 New York Ave
Sound Beach, NY 11789
Phone (631) 784-7761

Practitioners & affiliated clinicians

Practitioners 6

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": "1184112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308182400000",
    "number": "1689872608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "775 PARK AVE",
            "address_2": "SUITE 356",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117433976",
            "telephone_number": "631-784-7761",
            "fax_number": "631-784-7831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 PARK AVE",
            "address_2": "SUITE 356",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117433976",
            "telephone_number": "631-784-7761",
            "fax_number": "631-784-7831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW BEGINNINGS PSYCHOLOGY, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-11",
        "last_updated": "2011-06-16",
        "status": "A",
        "authorized_official_last_name": "LEVENSON",
        "authorized_official_first_name": "RISA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "631-784-7761",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "NY",
            "license": "013873-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2011; 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.

Verify at the official NPI Registry.