Organization Active NPI

Edythe Adler, Psy.D.

  • Community/Behavioral Health Agency
  • Bronx, NY
National Provider Identifier
1912024365
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
EDYTHE ADLER, PSY.D.
Practice address
2500 Johnson Ave
Suite 1M
Bronx, NY 10463-4925
Phone
(718) 796-1101
Fax
(914) 725-8121
NPI assigned
Mar 23, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Edythe Brenda Adler, PSY.D.NPI 1740307198
Title
President
Phone
(914) 725-8121

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

2500 Johnson Ave
Suite 1M
Bronx, NY 10463-4925

Mailing address

195 Longview Dr
Scarsdale, NY 10583-1820
Phone (914) 725-8121

Other identifiers 3

IdentifierTypeStateIssuer
051127OtherNYVALUE OPTIONS
6800164OtherNYGHI-BMP
SO-9976-2OtherNYWORKERS COMPENSATION

National Provider Directory

National Provider Directory

Locations

2500 Johnson Ave
Apt 1M
Bronx, NY 10463
Phone (718) 601-3400

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912024365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 LONGVIEW DR",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105831820",
            "telephone_number": "914-725-8121",
            "fax_number": "914-725-8121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 JOHNSON AVE",
            "address_2": "SUITE 1M",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104634925",
            "telephone_number": "718-796-1101",
            "fax_number": "914-725-8121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDYTHE ADLER, PSY.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ADLER",
        "authorized_official_first_name": "EDYTHE",
        "authorized_official_middle_name": "BRENDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "914-725-8121",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "051127",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI-BMP",
            "identifier": "6800164",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS COMPENSATION",
            "identifier": "SO-9976-2",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.