Randee H Bienenstock, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

010918 Issued in NY

Practice address

168 Main St
Huntington, NY 11743-6919

Phone

(516) 400-4876

NPI assigned

Jan 25, 2020

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1579910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626307200000",
    "number": "1699305995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "168 MAIN ST",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117436919",
            "telephone_number": "516-400-4876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "168 MAIN ST",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117436919",
            "telephone_number": "516-400-4876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIENENSTOCK",
        "first_name": "RANDEE",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-25",
        "last_updated": "2021-07-15",
        "certification_date": "2021-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "010918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nishtha R Bhavsar
• Tanaboon Bhuphaibool, MSW
• Gabriella Christina Bianchino, MA, CCC-SLP, TSSLD
• Erin Biel, P.A.
• Stephen Bienemann
• Anne Vrooman Biernacki, L.P.N
• Meghan Ann Billia, MSN, FNP-BC
• Kathleen Whitton Birkenhead, RN
• Lynette M Birnbaum, MD
• Adrian Philip Bisceglia, PT, DPT

• Clinical Psychologist in Huntington, NY
• Providers in Huntington, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.