Individual provider Active NPI

Eleni Marcantonis, PSY.D.

  • Clinical Psychologist
  • Astoria, NY
National Provider Identifier
1740234004
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
016461 Issued in NY
Practice address
2613 21St St
Astoria, NY 11102-3544
Phone
(718) 626-4800
Fax
(718) 626-2135
NPI assigned
May 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 016461 NY Primary

Addresses

Primary practice location

2613 21St St
Astoria, NY 11102-3544

Mailing address

1 Old Country Rd
Suite 271
Carle Place, NY 11514-1801
Phone (800) 725-6280

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
I20051220000183 NY Practitioner - Clinical Psychologist 4486676467 Reassigns benefits to 1 organization
Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1115 Broadway
FL 12
New York, NY 10010-3452
Phone (212) 724-3530

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
016461NYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Manhattan Cognitive Psychological Therapy Consultants, P.C. Clinical Current Accepting new patients
Knapp Street Psychiatry, PC Clinical CurrentSince Apr 14, 2010 Accepting new patients
The Shield of David, Inc. PastSince Jan 11, 1996 Accepting new patients
Senior Life Management, P.L.L.C. Clinical Past Accepting new patients

Locations

2613 21st St
Astoria, NY 11102
Phone (516) 724-5941

1915 Ocean Ave
Brooklyn, NY 11230
Phone (718) 258-7700

209 Beach 125th St
Rockaway Park, NY 11694
Phone (516) 721-7625

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1740234004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 OLD COUNTRY RD",
            "address_2": "SUITE 271",
            "city": "CARLE PLACE",
            "state": "NY",
            "postal_code": "115141801",
            "telephone_number": "800-725-6280",
            "fax_number": "800-725-6380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2613 21ST ST",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111023544",
            "telephone_number": "718-626-4800",
            "fax_number": "718-626-2135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCANTONIS",
        "first_name": "ELENI",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-20",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "016461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, NY

Sources for this page

Verify at the official NPI Registry.