Tabitha Ellen Brandt-Tiven, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

016770 Issued in NY

Practice address

111 7TH Street
Suite 111
Garden City, NY 11530

Phone

(516) 400-2969

Fax

(516) 221-4709

NPI assigned

Feb 13, 2007

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

Opted out of Medicare

Yes, effective Oct 1, 2012 through Oct 1, 2026

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

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.

• Tabitha Brandt-Tiven, PHD - Psychologist, P.C.

  • Psychologist
  • Garden City, NY
  • NPI 1255153698
  NPD Authorized official

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1871635011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17-23 UTOPIA PARKWAY",
            "city": "WHITESTONE",
            "state": "NY",
            "postal_code": "11357",
            "telephone_number": "516-400-2969",
            "fax_number": "516-221-4709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 7TH STREET",
            "address_2": "SUITE 111",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "11530",
            "telephone_number": "516-400-2969",
            "fax_number": "516-221-4709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANDT-TIVEN",
        "first_name": "TABITHA",
        "middle_name": "ELLEN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-13",
        "last_updated": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "016770",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "016770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bradley Cohen DO PC
• Jonathan Bram
• Kayla Rose Branca, PA
• Gareth E Brancato, DC
• Alyssa Brandofino, ATC
• Ryan David Braverman, D.C
• Samantha Cara Bravo, P.A.
• Matthew Brazezicke, LCSW
• Cindy Lee Bredefeld, D.O
• Christopher Michael Breen, RPA-C

• Psychologist in Garden City, NY
• Providers in Garden City, NY by specialty
• Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; 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.

Verify at the official NPI Registry.