Individual provider Active NPI

Elena Esther Skolnick, PH.D. PSYCHOLOGIST

  • Psychologist
  • New York, NY
National Provider Identifier
1780860452
Registry record updated Jan 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
8054-1 Issued in NY
Practice address
41 5TH Ave
Suite 11a
New York, NY 10003-4319
Phone
(212) 475-8535
NPI assigned
Jan 12, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 8054-1 NY Primary

Addresses

Primary practice location

41 5TH Ave
Suite 11a
New York, NY 10003-4319

Mailing address

41 5TH Ave
Suite 11a
New York, NY 10003-4319
Phone (212) 475-8535

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
8054-1NYMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1200096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200096000000",
    "number": "1780860452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 5TH AVE",
            "address_2": "SUITE 11A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100034319",
            "telephone_number": "212-475-8535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 5TH AVE",
            "address_2": "SUITE 11A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100034319",
            "telephone_number": "212-475-8535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKOLNICK",
        "first_name": "ELENA",
        "middle_name": "ESTHER",
        "name_prefix": "Dr.",
        "credential": "PH.D. PSYCHOLOGIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-12",
        "last_updated": "2008-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "8054-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.