Active NPI
Rachel Waxman, PHD
- Psychologist
- Teaneck, NJ
National Provider Identifier
1912144544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 35SI00617100
- Practice address
- 416 Cedar LN FL 2
Teaneck, NJ 07666-1709 - Phone
- (917) 328-5068
- NPI assigned
- Jan 20, 2009
- Last updated
- Jan 28, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 35SI00617100 | NJ | Primary |
Addresses
Primary practice location
416 Cedar LN FL 2
Teaneck, NJ 07666-1709
Mailing address
416 Cedar LN FL 2
Teaneck, NJ 07666-1709
Phone (917) 328-5068
Other practice location 1
521 W 239th St
Bronx, NY 10463-1205
Phone (718) 601-2280 ext. 225
Other practice location 2
145 E 32nd St Fl 9
New York, NY 10016-6060
Phone (212) 535-0822
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35SI00617100 | NJ | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Albert Ellis Institute | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Cognitive & Behavioral Psychologist
- New York, NY
- NPI 1538211842
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1232409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580169600000",
"number": "1912144544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "416 CEDAR LN FL 2",
"city": "TEANECK",
"state": "NJ",
"postal_code": "076661709",
"telephone_number": "917-328-5068"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "416 CEDAR LN FL 2",
"city": "TEANECK",
"state": "NJ",
"postal_code": "076661709",
"telephone_number": "917-328-5068"
}
],
"practiceLocations": [
{
"address_1": "521 W 239th St",
"address_purpose": "LOCATION",
"city": "Bronx",
"state": "NY",
"postal_code": "104631205",
"country_code": "US",
"telephone_number": "718-601-2280 x225",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "145 E 32nd St Fl 9",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100166060",
"country_code": "US",
"telephone_number": "212-535-0822",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WAXMAN",
"first_name": "RACHEL",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-01-20",
"last_updated": "2020-01-28",
"certification_date": "2020-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NJ",
"license": "35SI00617100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Teaneck, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.