Individual provider Active NPI

David Schiffman, PHD

  • Psychologist
  • Rhinebeck, NY
National Provider Identifier
1962495473
Registry record updated Jun 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
004100 Issued in NY
Practice address
163 Old Post Rd
Rhinebeck, NY 12572-1192
Phone
(845) 876-4524
Fax
(845) 876-5474
NPI assigned
Aug 30, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 004100 NY Primary

Addresses

Primary practice location

163 Old Post Rd
Rhinebeck, NY 12572-1192

Mailing address

163 Old Post Rd
Rhinebeck, NY 12572-1192
Phone (315) 295-2100

Other identifiers 1

IdentifierTypeStateIssuer
01281869MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040512000477 NY Practitioner - Clinical Psychologist 5092704130 Practice locations: Rhinebeck, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1968
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

163 Old Post Rd
Rhinebeck, NY 12572-1192
Phone (845) 876-4524

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
004100NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Hollander Psychological Consulting PC PastSince Sep 21, 1992 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": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529280000000",
    "number": "1962495473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 OLD POST RD",
            "city": "RHINEBECK",
            "state": "NY",
            "postal_code": "125721192",
            "telephone_number": "315-295-2100",
            "fax_number": "315-295-2125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 OLD POST RD",
            "city": "RHINEBECK",
            "state": "NY",
            "postal_code": "125721192",
            "telephone_number": "845-876-4524",
            "fax_number": "845-876-5474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHIFFMAN",
        "first_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-30",
        "last_updated": "2018-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "004100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01281869",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rhinebeck, NY

Sources for this page

Verify at the official NPI Registry.