Rachel A Proujansky, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

022175 Issued in NY

Practice address

519 8TH Ave RM 9
New York, NY 10018-4582

Phone

(212) 683-3339

Fax

(212) 683-3340

NPI assigned

Sep 12, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective May 23, 2023 through May 23, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1473638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1720536485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 8TH AVE RM 9",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100184582",
            "telephone_number": "212-683-3339",
            "fax_number": "212-683-3340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 8TH AVE RM 9",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100184582",
            "telephone_number": "212-683-3339",
            "fax_number": "212-683-3340"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "436 Court St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112314107",
            "country_code": "US",
            "telephone_number": "929-224-4793",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PROUJANSKY",
        "first_name": "RACHEL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-12",
        "last_updated": "2023-11-27",
        "certification_date": "2020-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "022175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rproujansky@motivationandchange.com",
            "affiliation": "Y",
            "affiliationName": "Psychological Motivation and Change Group",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "519 8th Ave Rm 9",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100184582",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Proud Moments ABA of New Jersey LLC
• Proud Moments ABA Services LLC (Proud Moments ABA)
• Proud Moments ABA Services LLC
• Proud Moments Licensed Behavior Analysts PLLC (Proud Moments ABA)
• Alyssa Anne Proujansky, L.AC., MSTOM
• Amy Marie Prouty, CRNA
• Proventus PC
• Nicole Provenzano, AGACNP-BC
• Tanisha Proverbs
• John A Provet, MD

• Clinical Psychologist in New York, NY
• Providers in New York, 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 Nov 27, 2023; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.