Individual provider Active NPI

Elana Diane Rimler, PSY.D.

  • Psychologist
  • Dix Hills, NY
National Provider Identifier
1831240878
Registry record updated Oct 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
016965-1 Issued in NY
Practice address
56 Melrose Rd
Dix Hills, NY 11746-5623
Phone
(917) 833-5069
NPI assigned
Jan 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 016965 NY
Psychologist 103T00000X 016965-1 NY Primary

Addresses

Primary practice location

56 Melrose Rd
Dix Hills, NY 11746-5623

Mailing address

56 Melrose Rd
Dix Hills, NY 11746-5623
Phone (631) 659-5519

Other identifiers 1

IdentifierTypeStateIssuer
02870111MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
016965-1NYMDPsychologist
016965NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Lotus Psychology Practice, LLC CurrentSince Oct 8, 2023 Accepting new patients
Metropolitan Psychological & Licensed Master Social Work Services PLLC Clinical Past Accepting new patients
Laura E Asner CSW PC PastSince May 1, 1995 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696464000000",
    "number": "1831240878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 MELROSE RD",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117465623",
            "telephone_number": "631-659-5519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 MELROSE RD",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117465623",
            "telephone_number": "917-833-5069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIMLER",
        "first_name": "ELANA",
        "middle_name": "DIANE",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "016965",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "016965-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02870111",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dix Hills, NY

Sources for this page

Verify at the official NPI Registry.