Organization Active NPI

Developmental Assessment & Intervention Center, PLLC

  • Psychologist
  • Bedford Hills, NY
National Provider Identifier
1932962438
Registry record updated Feb 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
DEVELOPMENTAL ASSESSMENT & INTERVENTION CENTER, PLLC
Practice address
83 Adams Street
Bedford Hills, NY 10507
Phone
(914) 666-7687
Fax
(914) 666-3666
NPI assigned
Feb 6, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2024

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

Authorized official

Name
Risa Tabacoff, PH.D.
Title
Director of Services and Owner
Phone
(914) 666-7687

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

83 Adams Street
Bedford Hills, NY 10507

Mailing address

83 Adams Street
Bedford Hills, NY 10507
Phone (914) 666-7687

National Provider Directory

National Provider Directory

Locations

83 Adams St
Bedford Hills, NY 10507
Phone (914) 441-9505

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1707177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707177600000",
    "number": "1932962438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 ADAMS STREET",
            "city": "BEDFORD HILLS",
            "state": "NY",
            "postal_code": "10507",
            "telephone_number": "914-666-7687",
            "fax_number": "914-666-3666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 ADAMS STREET",
            "city": "BEDFORD HILLS",
            "state": "NY",
            "postal_code": "10507",
            "telephone_number": "914-666-7687",
            "fax_number": "914-666-3666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVELOPMENTAL ASSESSMENT & INTERVENTION CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-06",
        "last_updated": "2024-02-06",
        "status": "A",
        "authorized_official_last_name": "TABACOFF",
        "authorized_official_first_name": "RISA",
        "authorized_official_title_or_position": "DIRECTOR OF SERVICES AND OWNER",
        "authorized_official_telephone_number": "914-666-7687",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; 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.