Individual provider Active NPI

Ellen Beth Littman

  • Clinical Psychologist
  • Mount Kisco, NY
National Provider Identifier
1740798388
Registry record updated Jan 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
011870-1 Issued in NY
Practice address
175 E Main St Ste 202
Mount Kisco, NY 10549-2973
Phone
(914) 244-1704
Fax
(914) 244-6373
NPI assigned
Jan 17, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2018

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 011870-1 NY Primary

Addresses

Primary practice location

175 E Main St Ste 202
Mount Kisco, NY 10549-2973

Mailing address

175 E Main St Ste 202
Mount Kisco, NY 10549-2973
Phone (914) 244-1704

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Sep 30, 2022 through Sep 30, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
011870-1NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1516147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516147200000",
    "number": "1740798388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 E MAIN ST STE 202",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105492973",
            "telephone_number": "914-244-1704",
            "fax_number": "914-244-6373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 E MAIN ST STE 202",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105492973",
            "telephone_number": "914-244-1704",
            "fax_number": "914-244-6373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LITTMAN",
        "first_name": "ELLEN",
        "middle_name": "BETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-17",
        "last_updated": "2018-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "011870-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Kisco, NY

Sources for this page

Verify at the official NPI Registry.