Individual provider Active NPI

Elizabeth Alison Rosenthal, PSY.D.

  • Clinical Psychologist
  • Nyack, NY
National Provider Identifier
1952880528
Registry record updated Aug 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
022769 Issued in NY
Practice address
421 N Highland Ave
Nyack, NY 10960-1339
Phone
(845) 353-3399
Fax
(845) 353-2272
NPI assigned
Aug 14, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 022769 NY Primary

Addresses

Primary practice location

421 N Highland Ave
Nyack, NY 10960-1339

Mailing address

50 Glenbrook Rd Apt 7G
Stamford, CT 06902-2950
Phone (203) 536-5632

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Previously, effective Aug 24, 2018 through Aug 24, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
022769NYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Palisades Psychological Services PC Clinical PastSince Aug 12, 2002 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1534204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534204800000",
    "number": "1952880528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 GLENBROOK RD APT 7G",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069022950",
            "telephone_number": "203-536-5632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 N HIGHLAND AVE",
            "city": "NYACK",
            "state": "NY",
            "postal_code": "109601339",
            "telephone_number": "845-353-3399",
            "fax_number": "845-353-2272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENTHAL",
        "first_name": "ELIZABETH",
        "middle_name": "ALISON",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-14",
        "last_updated": "2018-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "022769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nyack, NY

Sources for this page

Verify at the official NPI Registry.