NPIMap

Individual provider Active NPI

Sivan Erstein, PSY.D.

  • Clinical Psychologist
  • Great Neck, NY
National Provider Identifier
1952604134
Registry record updated Dec 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
017318 Issued in NY
Practice address
105 Clover Dr
Pupil Personnel Services-Great Neck Public Schools
Great Neck, NY 11021-1031
Phone
(516) 441-4970
Fax
(516) 441-4270
NPI assigned
Dec 10, 2010
Sex
Female
Sole proprietor
No

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

State licenses

LicenseStateTypeSpecialty
017318NYMDOccupational Therapist

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 017318 NY Primary
School Psychologist 103TS0200X

Addresses

NPPES NPI Registry

Primary practice location

105 Clover Dr
Pupil Personnel Services-Great Neck Public Schools
Great Neck, NY 11021-1031

Mailing address

105 Clover Dr
Pupil Personnel Services-Great Neck Public Schools
Great Neck, NY 11021-1031
Phone (516) 441-4970

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 10, 2010.

{
    "created_epoch": "1291939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291939200000",
    "number": "1952604134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 CLOVER DR",
            "address_2": "PUPIL PERSONNEL SERVICES-GREAT NECK PUBLIC SCHOOLS",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110211031",
            "telephone_number": "516-441-4970",
            "fax_number": "516-441-4270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 CLOVER DR",
            "address_2": "PUPIL PERSONNEL SERVICES-GREAT NECK PUBLIC SCHOOLS",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110211031",
            "telephone_number": "516-441-4970",
            "fax_number": "516-441-4270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERSTEIN",
        "first_name": "SIVAN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-10",
        "last_updated": "2010-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "017318",
            "primary": true
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Neck, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2010; 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.