NPIMap

East Rockaway Neuropsychology, PC

Organization Active NPI Clinical Psychologist · Rockville Centre, NY

NPI 1871000950 · NPPES record last updated Sep 12, 2024

Key facts

NPI
1871000950
Entity type
Organization (NPI type 2)
Primary specialty
Clinical Psychologist 103TC0700X
Legal business name
EAST ROCKAWAY NEUROPSYCHOLOGY, PC
Practice address
100 Merrick Rd Ste 510
Rockville Centre, NY 11570-4800
Phone
(516) 341-6215
Fax
(516) 744-6743
NPI assigned
Jan 10, 2018
Organization subpart
No

Authorized official

Name
Dr. Elina Kugel, PSY.D. NPI 1699149229
Title
Administrator
Phone
(516) 341-6215

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 25

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NY

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20190306000827 NY Part B Supplier - Clinic/Group Practice 0547509739 Receives reassigned benefits from 25 practitioners
Practice locations: Rockville Centre, NY

National Provider Directory

Locations

100 Merrick Rd
Ste 510
Rockville Ctr, NY 11570
Phone (516) 341-6215

100 Merrick Rd
Ofc 510E
Rockville Ctr, NY 11570

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist
Group: 193200000X MULTI-SPECIALTY GROUP		 103G00000X 021703 NY
Clinical Psychologist
Group: 193200000X MULTI-SPECIALTY GROUP		 103TC0700X 021703 NY
Clinical Psychologist
Group: 193200000X MULTI-SPECIALTY GROUP		 103TC0700X 021808 NY
Clinical Psychologist
Group: 193200000X MULTI-SPECIALTY GROUP		 103TC0700X Yes
Clinical Child & Adolescent Psychologist
Group: 193200000X MULTI-SPECIALTY GROUP		 103TC2200X 021808 NY

Addresses

Primary practice location

100 Merrick Rd Ste 510
Rockville Centre, NY 11570-4800

Mailing address

100 Merrick Rd Ste 510
Rockville Centre, NY 11570-4800
Phone (516) 341-6215

Other names

  • East Rockaway Neuropsychology, PC d/b/a Curect Neuropsychology of NY Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 12, 2024.

{
    "created_epoch": "1515542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726099200000",
    "number": "1871000950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MERRICK RD STE 510",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115704800",
            "telephone_number": "516-341-6215",
            "fax_number": "516-744-6743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MERRICK RD STE 510",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115704800",
            "telephone_number": "516-341-6215",
            "fax_number": "516-744-6743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST ROCKAWAY NEUROPSYCHOLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-10",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A",
        "authorized_official_last_name": "KUGEL",
        "authorized_official_first_name": "ELINA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "516-341-6215",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "NY",
            "license": "021703",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "021703",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "021808",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NY",
            "license": "021808",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "East Rockaway Neuropsychology, PC d/b/a Curect Neuropsychology of NY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rockville Centre, NY

All providers in Rockville Centre, NY · Clinical Psychologist in New York

Sources for this page

Verify at the official NPI Registry.