Active NPI
Alexis Gendell, PSY D
- Psychologist
- Bedford Hills, NY
National Provider Identifier
1780753111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 016700-1
- Practice address
- 333 Adams Street
Bedford Hills, NY 10507-2001 - Phone
- (914) 242-0725
- Fax
- (914) 242-5152
- NPI assigned
- Nov 7, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 016700-1 | NY | Primary |
Addresses
Primary practice location
333 Adams Street
Bedford Hills, NY 10507-2001
Mailing address
333 Adams Street
Bedford Hills, NY 10507-2001
Phone (914) 242-0725
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 016700-1 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Therapy Center LLP | Psychologist | Past | Accepting new patients |
| TTC Psychiatric PC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Psychiatry Physician
- Bedford Hills, NY
- NPI 1194831008
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1780753111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 ADAMS STREET",
"city": "BEDFORD HILLS",
"state": "NY",
"postal_code": "105072001",
"telephone_number": "914-242-0725",
"fax_number": "914-242-5152"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 ADAMS STREET",
"city": "BEDFORD HILLS",
"state": "NY",
"postal_code": "105072001",
"telephone_number": "914-242-0725",
"fax_number": "914-242-5152"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GENDELL",
"first_name": "ALEXIS",
"credential": "PSY D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "016700-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bedford Hills, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.