Elyse Chaifetz, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

020185 Issued in NY

Practice address

16 E 41St St Ste 5E
New York, NY 10017-6217

Phone

(917) 473-3086

NPI assigned

Aug 29, 2013

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

Other identifiers 1

Other names 1

• Elyse Kupperman Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 1, 2017 through Jan 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Elyse Kupperman Chaifetz, PH.D. Psychologist PLLC

  • Psychologist
  • New York, NY
  • NPI 1619517430
  NPD Authorized official

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

{
    "created_epoch": "1377734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578441600000",
    "number": "1780018481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 E 41ST ST STE 5E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100176217",
            "telephone_number": "917-473-3086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 E 41ST ST STE 5E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100176217",
            "telephone_number": "917-473-3086"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "303 5th Ave Rm 403",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100166643",
            "country_code": "US",
            "telephone_number": "917-473-3086",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAIFETZ",
        "first_name": "ELYSE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-29",
        "last_updated": "2020-01-08",
        "certification_date": "2020-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "020185",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ILANA ROSENBERG",
            "identifier": "1184074866",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "na",
            "affiliation": "N",
            "address_1": "16 E 41st St",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100176217",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ELYSE",
            "last_name": "KUPPERMAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michael Chai, M.D.
• Raymond L Chai, MD
• Angelo Chaia, MD
• Prudence Nkinda Chaiban
• Marisa Chaidez
• Nina Chaifetz, LCSW
• Barry G Chaiken, M.D.
• Allison Faye Chaikin, CF SLP
• Tiffany Chaille
• Chaim a Jakob DMD, PC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.