Individual provider Active NPI

Chaim Yacov Tarshish, PHD

  • Psychologist
  • Brooklyn, NY
National Provider Identifier
1831775337
Registry record updated Jul 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
024159-01 Issued in NY
Practice address
16 Ocean Pkwy Apt C23
Brooklyn, NY 11218-1522
Phone
(917) 669-3647
NPI assigned
Mar 23, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 024159-01 NY Primary

Addresses

Primary practice location

16 Ocean Pkwy Apt C23
Brooklyn, NY 11218-1522

Mailing address

16 Ocean Pkwy Apt C23
Brooklyn, NY 11218-1522
Phone (917) 669-3647

Other practice location 1

26 Court St Ste 409
Brooklyn, NY 11242-1134
Phone (917) 669-3647

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
024159-01NYMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1616457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658707200000",
    "number": "1831775337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 OCEAN PKWY APT C23",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112181522",
            "telephone_number": "917-669-3647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 OCEAN PKWY APT C23",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112181522",
            "telephone_number": "917-669-3647"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26 Court St Ste 409",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112421134",
            "country_code": "US",
            "telephone_number": "917-669-3647",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TARSHISH",
        "first_name": "CHAIM",
        "middle_name": "YACOV",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-23",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "024159-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.