Elly Max Deutsch, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

028553 Issued in NY

Practice address

1212 Seagirt Blvd
Far Rockaway, NY 11691-5614

Phone

(516) 696-9540

Fax

(516) 696-9541

NPI assigned

Nov 6, 2026

Last updated

Nov 6, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1793923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1793923200000",
    "number": "1811897671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 BEACH 13TH ST STE 301",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116915614",
            "telephone_number": "516-696-9540",
            "fax_number": "516-696-9541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 SEAGIRT BLVD",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116915614",
            "telephone_number": "516-696-9540",
            "fax_number": "516-696-9541"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5506 15th Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112194311",
            "country_code": "US",
            "telephone_number": "718-650-6202",
            "fax_number": "718-676-1815",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEUTSCH",
        "first_name": "ELLY",
        "middle_name": "MAX",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-11-06",
        "last_updated": "2026-11-06",
        "certification_date": "2026-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "028553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Far Rockaway, NY
• Providers in Far Rockaway, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.