Ross Lynn Tabisel, LCSW, PH.D, PC.

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

R013521-1 Issued in NY

Legal business name

ROSS LYNN TABISEL, LCSW, PH.D, PC.

Practice address

54 Sunnyside Blvd Ste a
Plainview, NY 11803-1517

Phone

(516) 576-1118

Fax

(516) 576-8876

NPI assigned

Dec 13, 2010

Last updated

Dec 13, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ross Lynn Tabisel, LCSW, PH.D

Title

Owner/President

Phone

(516) 576-1118

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ross Lynn Tabisel, LCSW, PH.D.

  • Clinical Social Worker
  • Plainview, NY
  • NPI 1336237270
  Medicare reassignment NPD

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

{
    "created_epoch": "1292198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292198400000",
    "number": "1790088854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 SUNNYSIDE BLVD STE A",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118031517",
            "telephone_number": "516-576-1118",
            "fax_number": "516-576-8876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 SUNNYSIDE BLVD STE A",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118031517",
            "telephone_number": "516-576-1118",
            "fax_number": "516-576-8876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSS LYNN TABISEL, LCSW, PH.D, PC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-13",
        "last_updated": "2010-12-13",
        "status": "A",
        "authorized_official_last_name": "TABISEL",
        "authorized_official_first_name": "ROSS LYNN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "516-576-1118",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LCSW, PH.D"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NY",
            "license": "R013521-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Ann Rosenkrantz, MA, CCC-SLP
• Greg Rosenn, MD
• Steven Bruce Rosenstein, LCSW
• Frances Rosenzweig, OT
• Rahul Roshin
• Andrew Ross, D.O.
• Phillipa Ross
• Stacey J Ross, OTR/L
• Theresa Elaine Rothwell, RN
• Julian Roux

• Adult Mental Health Clinic/Center in Plainview, NY
• Providers in Plainview, NY by specialty
• Adult Mental Health Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.