Individual provider Active NPI

Elizabeth Delessio-Neubauer, PSY.D

  • Psychologist
  • Fishkill, NY
National Provider Identifier
1841498805
Registry record updated Oct 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
011495 Issued in NY
Practice address
1081 Main St
Suite F
Fishkill, NY 12524-3504
Phone
(845) 857-5354
NPI assigned
Jul 10, 2007
Last updated
Oct 5, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 011495 NY Primary
Local Education Agency (LEA) 251300000X 011495 NY

Addresses

Primary practice location

1081 Main St
Suite F
Fishkill, NY 12524-3504

Mailing address

1081 Main St
Suite F
Fishkill, NY 12524-3504
Phone (845) 857-5354

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
011495NYMDLocal Education Agency (LEA)

NPI Registry JSON

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317772800000",
    "number": "1841498805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1081 MAIN ST",
            "address_2": "SUITE F",
            "city": "FISHKILL",
            "state": "NY",
            "postal_code": "125243504",
            "telephone_number": "845-857-5354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1081 MAIN ST",
            "address_2": "SUITE F",
            "city": "FISHKILL",
            "state": "NY",
            "postal_code": "125243504",
            "telephone_number": "845-857-5354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELESSIO-NEUBAUER",
        "first_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "PSY.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-10",
        "last_updated": "2011-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "011495",
            "primary": true
        },
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "NY",
            "license": "011495",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fishkill, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.