Active NPI
Nadine Revheim, PH.D.
- Psychologist
- New City, NY
National Provider Identifier
1801965405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 014884-1
- Practice address
- 17 Squadron Blvd
Suite 318
New City, NY 10956-5214 - Phone
- (845) 353-3986
- NPI assigned
- Nov 7, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | 014884-1 | NY | Primary |
Addresses
Primary practice location
17 Squadron Blvd
Suite 318
New City, NY 10956-5214
Mailing address
PO Box 294
Nyack, NY 10960-0294
Phone (845) 358-6410
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 289774 | Other | NY | MHN |
| 487209 | Other | NY | VALUE OPTIONS MHS |
| 0002353284002 | Other | NY | UBH |
| P2818996 | Other | NY | OXFORD |
| 2140114 | Other | NY | CIGNA |
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 014884-1 | NY | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Randolph Bleiwas CSW, PC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinical Social Worker
- New City, NY
- NPI 1932212628
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": "1801965405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 294",
"city": "NYACK",
"state": "NY",
"postal_code": "109600294",
"telephone_number": "845-358-6410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 SQUADRON BLVD",
"address_2": "SUITE 318",
"city": "NEW CITY",
"state": "NY",
"postal_code": "109565214",
"telephone_number": "845-353-3986"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REVHEIM",
"first_name": "NADINE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "014884-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHN",
"identifier": "289774",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS MHS",
"identifier": "487209",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UBH",
"identifier": "0002353284002",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P2818996",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "2140114",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in New City, 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.