Active NPI
Yvette Joy Frumkin, PH.D.
- Clinical Neuropsychologist
- Melville, NY
National Provider Identifier
1831274885
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 007568-1
- Practice address
- 29 Northcote Dr
Melville, NY 11747-3912 - Phone
- (631) 643-8660
- NPI assigned
- Oct 26, 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 |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 007568-1 | NY | Primary |
Addresses
Primary practice location
29 Northcote Dr
Melville, NY 11747-3912
Mailing address
29 Northcote Dr
Melville, NY 11747-3912
Phone (631) 643-8660
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 3, 2020 through Jan 3, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007568 | NY | MD | Professional Counselor |
| 007568-1 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1303776000000",
"number": "1831274885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29 NORTHCOTE DR",
"city": "MELVILLE",
"state": "NY",
"postal_code": "117473912",
"telephone_number": "631-643-8660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29 NORTHCOTE DR",
"city": "MELVILLE",
"state": "NY",
"postal_code": "117473912",
"telephone_number": "631-643-8660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRUMKIN",
"first_name": "YVETTE",
"middle_name": "JOY",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-26",
"last_updated": "2011-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "NY",
"license": "007568-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Melville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.