Emily Becker-Weidman, PH.D.

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

68019701 Issued in NY

Practice address

300 E 75TH St
17K
New York, NY 10021-3375

Phone

(215) 840-0669

NPI assigned

Dec 25, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Sep 25, 2015 through Sep 25, 2027

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Palisades Psychological Services PC

  dba Hudson Valley Center for Cognitive Therapy

  • Clinical Psychologist
  • Nyack, NY
  • NPI 1518008036
  NPD (past)

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

{
    "created_epoch": "1356393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356393600000",
    "number": "1831435635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E 75TH ST",
            "address_2": "17K",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100213375",
            "telephone_number": "215-840-0669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E 75TH ST",
            "address_2": "17K",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100213375",
            "telephone_number": "215-840-0669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKER-WEIDMAN",
        "first_name": "EMILY",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-25",
        "last_updated": "2012-12-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "68019701",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NY",
            "license": "68019701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Beck
• Ranit Beck, OTR/L
• Richard Beck, LCSW BCD CGP FAGPA
• Jonathan Averil Beckenstein, L.C.S.W.
• Marjory Becker-Lewin, MA, OTR
• Alana Becker, M.S.ED.
• Amanda Drew Becker, DO
• Anton Sebastian Becker, MD, PHD
• Ashley L Becker, M.D., M.B.A.
• Beate Becker, MS,LP,LCAT,LMHC,LPC

• Clinical Child & Adolescent Psychologist in New York, NY
• Providers in New York, NY by specialty
• Clinical Child & Adolescent Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.